Active NPI
Vicki Pender, PHARM.D.
- Pharmacist
- Castle Rock, CO
National Provider Identifier
1770860256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18204
- Practice address
- 4050 Future St
Castle Rock, CO 80109-3871 - Phone
- (303) 474-5257
- NPI assigned
- Nov 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 18204 | CO | |
| Pharmacist | 183500000X | 18204 | CO | Primary |
Addresses
Primary practice location
4050 Future St
Castle Rock, CO 80109-3871
Mailing address
4050 Future St
Castle Rock, CO 80109-3871
Phone (303) 474-5257
Other practice location 1
1001 E 120th Ave
Thornton, CO 80233-5711
Phone (303) 280-6273
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18204 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1770860256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 FUTURE ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801093871",
"telephone_number": "303-474-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 FUTURE ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801093871",
"telephone_number": "303-474-5257"
}
],
"practiceLocations": [
{
"address_1": "1001 E 120th Ave",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802335711",
"country_code": "US",
"telephone_number": "303-280-6273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENDER",
"first_name": "VICKI",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CO",
"license": "18204",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.