Organization Active NPI

Sisters of Charity of Leavenworth Health System Inc

Doing business as Intermountain Specialty Pharmacy - Denver

  • Institutional Pharmacy
  • Denver, CO
National Provider Identifier
1356898274
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Doing business as
Intermountain Specialty Pharmacy - Denver
Practice address
1830 N Franklin St Ste 190
Denver, CO 80218-1128
Phone
(303) 318-1305
Fax
(303) 318-1308
NPI assigned
Sep 8, 2016
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carrie DunfordNPI 1427978667
Title
Chief Pharmacy Officer
Phone
(801) 284-1004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1680000126 CO
Community/Retail Pharmacy 3336C0003X NU
Institutional Pharmacy 3336I0012X NU Primary

Addresses

Primary practice location

1830 N Franklin St Ste 190
Denver, CO 80218-1128

Mailing address

1830 N Franklin St Ste 190
Denver, CO 80218-1128
Phone (303) 318-1305

Other identifiers 1

IdentifierTypeStateIssuer
2166002OtherPK

Other names 2

  • Intermountain Specialty Pharmacy - Denver Doing business as
  • Franklin Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180327001089 CO Part B Supplier - Pharmacy 6901879964 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Lafayette, CO; Wheat Ridge, CO
O20190605002950 CO DME Supplier - Pharmacy 6901879964 Practice locations: Denver, CO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Intermountain Specialty Pharmacy1830 N Franklin St, Denver, CO 80218-1115(303) 318-1305 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Aug 18, 2017

National Provider Directory

National Provider Directory
Tax ID family
Sisters of Charity of Leavenworth Health System Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 80

Organizations listed as members of this organization in the National Provider Directory.

View all 80

Locations

1830 N Franklin St
Ste 190
Denver, CO 80218
Phone (303) 318-1305

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intermountain Health St. Vincent Regional HospitalBillings, MT, CCN 270049 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 31, 2013
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO, CCN 060023 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 19, 1972
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO, CCN 06T023 Hospital 5% Or Greater Direct Ownership Interest Dec 19, 1972
Intermountain Health St. James HospitalButte, MT, CCN 270017 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 19, 1972
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 271347 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2009
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 27Z347 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2009
Intermountain Health Saint Joseph HospitalDenver, CO, CCN 060028 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2010
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 275106 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1997
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 271519 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1997
Intermountain Health Holy Rosary HospitalMiles City, MT, CCN 273425 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 21, 1997
Intermountain Health Absarokee Clinic - Family MedicineAbsarokee, MT, CCN 273831 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Feb 16, 2022
Intermountain Health Lewistown Clinic - Family MedicineLewistown, MT, CCN 273833 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Feb 16, 2022
Intermountain Health Boulder Clinic - Family MedicineBoulder, MT, CCN 273832 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Feb 16, 2022

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1356898274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N FRANKLIN ST STE 190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-318-1305",
            "fax_number": "303-318-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N FRANKLIN ST STE 190",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-318-1305",
            "fax_number": "303-318-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "DUNFORD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "801-284-1004"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "1680000126",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Specialty Pharmacy - Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franklin Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.