Active NPI
Rebecca Anne Porter
- Pharmacist
- Lakewood, CO
National Provider Identifier
1518345693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IN.0002006411
- Practice address
- 9485 W Colfax Ave
2ND Floor
Lakewood, CO 80215-3918 - Phone
- (303) 432-5925
- Fax
- (303) 432-5953
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | IN.0002006411 | CO | Primary |
Addresses
Primary practice location
9485 W Colfax Ave
2ND Floor
Lakewood, CO 80215-3918
Mailing address
4851 Independence St
Suite 200
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
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 |
|---|---|---|---|
| IN.0002006411 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1518345693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"address_2": "SUITE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300",
"fax_number": "303-432-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9485 W COLFAX AVE",
"address_2": "2ND FLOOR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153918",
"telephone_number": "303-432-5925",
"fax_number": "303-432-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "IN.0002006411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.