Active NPI
Patrick Odom
- Pharmacy Technician
- Parker, CO
National Provider Identifier
1467116897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHAT.0003847
- Practice address
- 9395 Crown Crest Blvd
Parker, CO 80138-8573 - Phone
- (303) 269-4000
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHAT.0003847 | CO | Primary |
Addresses
Primary practice location
9395 Crown Crest Blvd
Parker, CO 80138-8573
Mailing address
1068 S Evanston Way Apt 101
Aurora, CO 80012-3858
Phone (251) 459-5237
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 |
|---|---|---|---|
| PHAT.0003847 | CO | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1467116897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 S EVANSTON WAY APT 101",
"city": "AURORA",
"state": "CO",
"postal_code": "800123858",
"telephone_number": "251-459-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9395 CROWN CREST BLVD",
"city": "PARKER",
"state": "CO",
"postal_code": "801388573",
"telephone_number": "303-269-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CO",
"license": "PHAT.0003847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
- Hailey Oakes-Hakala
- Krystal Obermeier
- Obstetrix Medical Group of Colorado, P.C.
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Occupational Health Centers of the Southwest PA (Concentra Medical Centers)
- Danielle Oetjen, MA
- Gift Ene Ogah, FNP-BC
- Ohana Mobile Dental Hygiene
- Gordon Nordell Olinger, M.D.
- Olive's Health & Hope Professional Company (Olive's Health & Hope)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.