Front Range Flu Shots, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

FRONT RANGE FLU SHOTS, LLC

Practice address

7421 S Curtice CT
Littleton, CO 80120-3952

Phone

(303) 797-3396

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Eileen R. Nickel, RN, BSN

Title

President

Phone

(303) 797-3396

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1598801615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 S CURTICE CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801203952",
            "telephone_number": "303-797-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 S CURTICE CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801203952",
            "telephone_number": "303-797-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE FLU SHOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-797-3396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Littleton, CO
• Providers in Littleton, CO by specialty
• Non-Pharmacy Dispensing Site in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.