CD Colorado Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CD COLORADO PHARMACY LLC

Practice address

1240 S Parker Rd Ste 200
Denver, CO 80231-2177

Phone

(303) 745-3000

Fax

(303) 745-3202

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Eddie Norris

Title

Managing Partner

Phone

(801) 712-7522

Specialties & licenses 1

Addresses

Other names 1

• Red Rock Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Shixian Wang

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1467037564
  NPD
• Stacey Chang, PHARMD

  • Pharmacist
  • Denver, CO
  • NPI 1679200216
  NPD (past)
• Crystal Kim, PHARMD

  • Pharmacist
  • Denver, CO
  • NPI 1861129959
  NPD (past)
• Janelle Trieu, PHARMD

  • Pharmacist
  • Denver, CO
  • NPI 1568053353
  NPD (past)
• Malcolm R Fraser, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Brooksville, FL
  • NPI 1861486177
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1710477385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022983",
            "telephone_number": "801-485-6166",
            "fax_number": "801-531-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S PARKER RD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312177",
            "telephone_number": "303-745-3000",
            "fax_number": "303-745-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD COLORADO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-712-7522"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Denver, CO
• Providers in Denver, 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 May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.