Active NPI
Penny Beckloff
- Critical Care Pharmacist
- Conifer, CO
National Provider Identifier
1366958514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 16388
- Practice address
- 25637 Conifer Rd
Conifer, CO 80433-9078 - Phone
- (303) 816-4970
- NPI assigned
- Dec 26, 2017
- Last updated
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | 16388 | CT | Primary |
Addresses
Primary practice location
25637 Conifer Rd
Conifer, CO 80433-9078
Mailing address
468 Tripp Dr
Golden, CO 80401-4895
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16388 | CT | MD | Critical Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Critical Care | Past | Accepting new patients |
| Dillon Companies LLC | Critical Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba King Soopers Pharmacy
- Community/Retail Pharmacy
- Conifer, CO
- NPI 1023053790
Critical Care
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
Critical Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1366958514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 TRIPP DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804014895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25637 CONIFER RD",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339078",
"telephone_number": "303-816-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKLOFF",
"first_name": "PENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "CT",
"license": "16388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.