Active NPI
Tobin Vance Zdarko, PHARM.D.
- Pharmacist
- Brighton, CO
National Provider Identifier
1578858197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16937
- Practice address
- 2171 Prairie Center Pkwy
T-2183
Brighton, CO 80601-7000 - Phone
- (303) 219-9056
- Fax
- (303) 219-9056
- NPI assigned
- Jun 10, 2011
- Sex
- Male
- 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 | 16937 | CO | Primary |
Addresses
Primary practice location
2171 Prairie Center Pkwy
T-2183
Brighton, CO 80601-7000
Mailing address
2171 Prairie Center Pkwy
T-2183
Brighton, CO 80601-7000
Phone (303) 219-9056
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16937 | CO | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1578858197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 PRAIRIE CENTER PKWY",
"address_2": "T-2183",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017000",
"telephone_number": "303-219-9056",
"fax_number": "303-219-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 PRAIRIE CENTER PKWY",
"address_2": "T-2183",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017000",
"telephone_number": "303-219-9056",
"fax_number": "303-219-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDARKO",
"first_name": "TOBIN",
"middle_name": "VANCE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.