Active NPI
Nicole Keenan, RPH.
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1770736548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14921
- Practice address
- Uchealth Springs Pharmacy
1400 E Boulder St
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-8896
- Fax
- (719) 365-6698
- NPI assigned
- Oct 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14921 | CO | Primary |
Addresses
Primary practice location
Uchealth Springs Pharmacy
1400 E Boulder St
Colorado Springs, CO 80909-5533
Mailing address
1400 E Boulder St
#1160
Colorado Springs, CO 80909-5533
Phone (719) 365-8896
Other practice location 1
UCHealth Pharmacy - Memorial Hospital North
4050 Briargate Parkway
Colorado Springs, CO 80920
Phone (719) 364-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14921 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uch-MHS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1538958400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1770736548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST",
"address_2": "#1160",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-8896",
"fax_number": "719-365-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCHEALTH SPRINGS PHARMACY",
"address_2": "1400 E BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-365-8896",
"fax_number": "719-365-6698"
}
],
"practiceLocations": [
{
"address_1": "UCHealth Pharmacy - Memorial Hospital North",
"address_2": "4050 Briargate Parkway",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80920",
"country_code": "US",
"telephone_number": "719-364-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENAN",
"first_name": "NICOLE",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "14921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.