Parker Professional Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1080000010 Issued in CO

Legal business name

PARKER PROFESSIONAL PHARMACY

Doing business as

Parker Pharmacy

Practice address

10371 S Park Glenn Way
#170
Parker, CO 80138-3869

Phone

(303) 840-3454

Fax

(303) 840-5364

NPI assigned

Aug 15, 2006

Last updated

Jan 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stanley George Callas, RPH

Title

Pharmacy Manager

Phone

(303) 840-6424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARKER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1699888719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 S PARK GLENN WAY",
            "address_2": "#170",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383869",
            "telephone_number": "303-840-3454",
            "fax_number": "303-840-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 S PARK GLENN WAY",
            "address_2": "#170",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383869",
            "telephone_number": "303-840-3454",
            "fax_number": "303-840-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "CALLAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "303-840-6424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1080000010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Parker Wellness, LLC
• William Parker, APN
• Parkglenn Dental

• Community/Retail Pharmacy in Parker, CO
• Providers in Parker, 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 Jan 26, 2009; 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.