Organization Active NPI

Heartland Pharmacy - Denver

  • Long Term Care Pharmacy
  • Englewood, CO
National Provider Identifier
1487918561
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEARTLAND PHARMACY - DENVER
Practice address
8599 Prairie Trail Dr
Ste A300
Englewood, CO 80112-7100
Phone
(208) 552-7677
Fax
(208) 552-2103
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Andrea Ferguson
Title
Execitive Assistant
Phone
(208) 497-3575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CO
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8599 Prairie Trail Dr
Ste A300
Englewood, CO 80112-7100

Mailing address

1790 Sabin Dr
Suite C
Ammon, ID 83406-6747
Phone (208) 552-7677

Other names 1

  • Heartland Pharmacy Denver Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1790 Sabin Dr
Ste C
Ammon, ID 83406

1790 Sabin Dr
Ammon, ID 83406
Phone (208) 497-3575

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1487918561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SABIN DR",
            "address_2": "SUITE C",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066747",
            "telephone_number": "208-552-7677",
            "fax_number": "208-552-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 PRAIRIE TRAIL DR",
            "address_2": "STE A300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801127100",
            "telephone_number": "208-552-7677",
            "fax_number": "208-552-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY - DENVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECITIVE ASSISTANT",
        "authorized_official_telephone_number": "208-497-3575"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Pharmacy Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.