Canyon Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PDO1680000131 Issued in CO

Legal business name

CANYON MEDICAL PHARMACY INC

Practice address

7265 S Revere Pkwy Ste 902
Centennial, CO 80112-6787

Phone

(800) 793-2890

Fax

(866) 523-5404

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Elvin Montanez, PHARMDNPI 1053663237

Title

Chief Operations Officer

Phone

(407) 830-8820

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elvin Montanez, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Altamonte Springs, FL
  • NPI 1053663237
  Authorized official Same address or phone

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1497202816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 S REVERE PKWY",
            "address_2": "SUITE 902",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126787",
            "telephone_number": "800-793-2890",
            "fax_number": "866-523-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 S REVERE PKWY STE 902",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126787",
            "telephone_number": "800-793-2890",
            "fax_number": "866-523-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "407-830-8820",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO1680000131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Campbell, PT
• Lynne Marie Canales, M.A.
• Sara Cancro, CRNP, CNM
• Tamra D Cantar, M.A. SLP
• Rayna Sharlene Cantwell, PA
• Kimberley Capalby
• Winston Timothy Capel, M.D.
• Murray Frederick Caplan, M.D.
• Care at Home LLC
• Care Dental of Centennial,PLLC

• Community/Retail Pharmacy in Centennial, CO
• Providers in Centennial, 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 16, 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.

Verify at the official NPI Registry.