Arvada Pharmacy and Medical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ARVADA PHARMACY AND MEDICAL SUPPLY

Practice address

10382 Ralston Rd
Arvada, CO 80004-5860

Phone

(720) 707-2444

Fax

(720) 707-2400

NPI assigned

Mar 1, 2019

Organization subpart

No

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

Authorized official

Name

Julia Ukhnovsky, CPHT,MS

Title

Ceo

Phone

(720) 707-2444

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Arvada Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376000950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10382 RALSTON RD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045860",
            "telephone_number": "720-707-2444",
            "fax_number": "720-707-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10382 RALSTON RD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045860",
            "telephone_number": "720-707-2444",
            "fax_number": "720-707-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA PHARMACY AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-03",
        "status": "A",
        "authorized_official_last_name": "UKHNOVSKY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-707-2444",
        "authorized_official_credential": "CPHT,MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE DME LICENSE",
            "identifier": "20206000260",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0626599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000171561",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO SALEX TAX LICENSE",
            "identifier": "38356159",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO BOARD OF PHARMACY",
            "identifier": "PDO.1680000194",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF ARVADA",
            "identifier": "87071000",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arvada Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arvada Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arvada Hearing Center, Inc.
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• Arvada Modern Dentistry, LLP
• Arvada Pediatric Associates, PC
• Arvada Ralston Medical Center
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• Arvada Speech Therapy
• Arvada Sport and Spine Group
• Arvada Sport and Spine Group LLC

• Community/Retail Pharmacy in Arvada, CO
• Providers in Arvada, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.