Active NPI
Lacy Bassham Cook, PHARMD
- Pharmacist
- Arvada, CO
National Provider Identifier
1417514860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19416
- Practice address
- 9400 Ralston Road
Arvada, CO 80002 - Phone
- (720) 624-0333
- NPI assigned
- May 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19416 | CO | Primary |
| Pharmacist | 183500000X | PD11635 | AR |
Addresses
Primary practice location
9400 Ralston Road
Arvada, CO 80002
Mailing address
9400 Ralston Road
Arvada, CO 80002
Other names 1
- Lacy Rebecca Bassham
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD11635 | AR | MD | Pharmacist |
| 19416 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1417514860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 RALSTON ROAD",
"city": "ARVADA",
"state": "CO",
"postal_code": "80002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 RALSTON ROAD",
"city": "ARVADA",
"state": "CO",
"postal_code": "80002",
"telephone_number": "720-624-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "LACY",
"middle_name": "BASSHAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19416",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD11635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACY",
"last_name": "BASSHAM",
"middle_name": "REBECCA",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.