Denver Pharmacy

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DENVER PHARMACY

Practice address

3816 NC-16 Business
Denver, NC 28037

Phone

(704) 451-5051

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Jesika S PatelNPI 1770737678

Title

Co-Ceo/ Owner

Phone

(704) 451-3790

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Practitioners 1

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

• Jesika S Patel

  • Pharmacist
  • Cornelius, NC
  • NPI 1770737678
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1801466370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 NC-16 BUSINESS",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-451-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 NC-16 BUSINESS",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-451-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JESIKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-CEO/ OWNER",
        "authorized_official_telephone_number": "704-451-3790"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801466370",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A. Davis, MD
• Macarena Del Corral Winder, OTD, OTR/L
• Denver Eye Care OD PLLC
• Denver Family Practice, PLLC
• Denver Opco, LLC
• Denver Phcy of Lincoln Cnty Inc
• Amrita Kaur Dhillon, MD
• Katherine Ruth Dickerson, LCMHCS, LCAS, CCS
• Deanna Marie Didiano, DO
• Dr Shanyn & Associates PC

• Clinical Medical Laboratory in Denver, NC
• Providers in Denver, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.