Individual provider Active NPI

Colleen L Martin, PHARMD

  • Pharmacist
  • Englewood, CO
National Provider Identifier
1669849865
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20939 Issued in CO
Practice address
3401 S Broadway Unit 180
Englewood, CO 80113-2526
Phone
(720) 405-5125
Fax
(720) 405-5126
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20939 CO Primary

Addresses

Primary practice location

3401 S Broadway Unit 180
Englewood, CO 80113-2526

Mailing address

3401 S Broadway Unit 180
Englewood, CO 80113-2526
Phone (720) 405-5125

Other identifiers 1

IdentifierTypeStateIssuer
202-0014OtherCOAPHA IMMUNIZATION CERTIFICATION

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

LicenseStateTypeSpecialty
20939COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Pharmacy CurrentSince Mar 3, 2024 Accepting new patients
Front Range Pharmacy CurrentSince Mar 3, 2024 Accepting new patients

Locations

3401 S Broadway
Unit 180
Englewood, CO 80113
Phone (720) 405-5125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1669849865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S BROADWAY UNIT 180",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132526",
            "telephone_number": "720-405-5125",
            "fax_number": "720-405-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S BROADWAY UNIT 180",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132526",
            "telephone_number": "720-405-5125",
            "fax_number": "720-405-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COLLEEN",
        "middle_name": "L",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "20939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APHA IMMUNIZATION CERTIFICATION",
            "identifier": "202-0014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.