Wheatridge Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WHEATRIDGE DRUG STORE LLC

Practice address

6650 W 38TH Ave
Wheat Ridge, CO 80033-4906

Phone

(303) 421-6111

Fax

(303) 431-8320

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Wendy Dilorenzo

Title

Administrator

Phone

(303) 421-6111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wheat Ridge Professional Pharmacy Doing business as

Tax ID family

Wheat Ridge Professional Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wheatridge Drug Store LLC

  • Community/Retail Pharmacy
  • Wheat Ridge, CO
  • NPI 1811389174
  NPD tax ID

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1497214332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334906",
            "telephone_number": "303-421-6111",
            "fax_number": "303-431-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334906",
            "telephone_number": "303-421-6111",
            "fax_number": "303-431-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATRIDGE DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "DILORENZO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-421-6111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50803883",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheat Ridge Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wheat Ridge Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Wheat, MD
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• Wheatridge Drug Store LLC
• Stephanie Whipple
• Melissa Whitacre
• James K Whitaker, MD
• Christopher Sean White, CMT

• All providers in Wheat Ridge, CO
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.