Accredo Health Group Inc
Organization Active NPI Pharmacy · Englewood, CO
NPI 1689623555 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1689623555
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PDO.0370000032 (CO)
- Legal business name
- ACCREDO HEALTH GROUP INC
- Practice address
- 361 Inverness Dr S
Ste F
Englewood, CO 80112-5860 - Phone
- (303) 799-6550
- Fax
- (303) 799-6551
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Victor Joseph Perini
- Title
- Assistant Secretary
- Phone
- (314) 847-0146
Corporate family (same tax ID) 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309001465 | CO | Part B Supplier - Pharmacy | 6901794007 | Practice locations: Englewood, CO |
| O20100930063915 | CO | DME Supplier - Pharmacy | 6901794007 | Practice locations: Englewood, CO |
National Provider Directory
- Tax ID family
- Accredo Health Group in
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PDO.0370000032 | CO | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
361 Inverness Dr S
Ste F
Englewood, CO 80112-5860
Mailing address
PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689623555 | Medicaid | MT | |
| 03230562 | Medicaid | NM | |
| 03003696 | Medicaid | CO | |
| 98751867 | Medicaid | NM | |
| 2002099 | Other | PK |
Other names
- ACCREDO HEALTH GROUP INC
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.