Xenia Custom Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1680000040 Issued in CO

Legal business name

XENIA CUSTOM PHARMACY, LLC

Practice address

14001 E Iliff Ave Ste 200
Aurora, CO 80014-1425

Phone

(720) 669-4567

Fax

(303) 862-9165

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Kristina Maria Adams, PHARMD

Title

Owner

Phone

(720) 669-4567

Specialties & licenses 1

Addresses

Other names 1

• Xenia Specialty Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Maria Vasys, PHARMD

  • Pharmacist
  • Aurora, CO
  • NPI 1245665223
  NPD (past)

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1679909105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "SUITE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "720-669-4567",
            "fax_number": "303-862-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141425",
            "telephone_number": "720-669-4567",
            "fax_number": "303-862-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14001 E Iliff Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141405",
            "country_code": "US",
            "telephone_number": "303-306-2444",
            "fax_number": "303-751-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14001 E Iliff Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141405",
            "country_code": "US",
            "telephone_number": "303-306-2444",
            "fax_number": "303-751-6280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XENIA CUSTOM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-669-4567",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1680000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xenia Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharina Wyns
• Jordan Matthew Wyrwa, DO
• Xanadu - 2 Corporation
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• Xanadu Assisted Home Care
• Pinelopi Xenoudi
• Jenny Jing Xiang, MD
• Diana Xiao
• Jeffrey Xie, MD
• Jessie Chang Xiong, MD

• Community/Retail Pharmacy in Aurora, CO
• Providers in Aurora, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.