Madison Modany, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA.0024154 Issued in CO

Practice address

451 E Wonderview Ave
Estes Park, CO 80517-9647

Phone

(970) 577-8226

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • Estes Park, CO
  • NPI 1881623841
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1750002481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ACOMA ST UNIT 1404",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044071",
            "telephone_number": "317-656-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E WONDERVIEW AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179647",
            "telephone_number": "970-577-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODANY",
        "first_name": "MADISON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0024154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "451 E Wonderview Ave",
            "city": "Estes Park",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805179647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa McMorton, ED.S
• Ashley Jean McMunigal, FNP-C
• John J Meyer, M.D.
• Michael Prochoda MD PC
• Jean Ellen Might, RN
• Judith C Moor, LMFT
• Justin Moore, LCSW, LICSW
• Ferdinand Ulrich Youssa Moungoue, NP
• Mountaintop Physical Therapy PC
• Erika Jane Norris, M.D.

• Pharmacist in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.