Innovage Pharmacy LLC.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

INNOVAGE PHARMACY LLC.

Practice address

5303 Spine Rd Unit 100
Boulder, CO 80301-3330

Phone

(303) 854-9900

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Lozzano

Title

President Pharmacy Services

Phone

(909) 486-9997

Specialties & licenses 1

Addresses

Other names 1

• InnServioRx Doing business as

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1659188993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 SPINE RD UNIT 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 SPINE RD UNIT 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013330",
            "telephone_number": "303-854-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVAGE PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "LOZZANO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
        "authorized_official_telephone_number": "909-486-9997",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnServioRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Boulder, CO
• Providers in Boulder, CO by specialty
• Long Term Care Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.