Individual provider Active NPI

Tewodros Wude

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Denver, CO
National Provider Identifier
1366877193
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PHA.0019624 Issued in CO
Practice address
2810 Quebec St
Denver, CO 80207-2900
Phone
(303) 333-3837
Fax
(303) 333-8029
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19624 CO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PHA.0019624 CO Primary

Addresses

Primary practice location

2810 Quebec St
Denver, CO 80207-2900

Mailing address

8031 Wadsworth Blvd
Arvada, CO 80003-1645
Phone (303) 420-1377

Other practice location 1

1575 W 84th Ave
Federal Heights, CO 80260-4786
Phone (303) 427-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19624COMDPharmacist
PHA.0019624COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC Past Accepting new patients
Dillon Companies LLC PastSince Sep 27, 2020 Accepting new patients
Dillon Companies LLC PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1366877193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031645",
            "telephone_number": "303-420-1377",
            "fax_number": "303-431-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 QUEBEC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072900",
            "telephone_number": "303-333-3837",
            "fax_number": "303-333-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 W 84th Ave",
            "address_purpose": "LOCATION",
            "city": "Federal Heights",
            "state": "CO",
            "postal_code": "802604786",
            "country_code": "US",
            "telephone_number": "303-427-9295",
            "fax_number": "303-430-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUDE",
        "first_name": "TEWODROS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "19624",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "PHA.0019624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.