Irene Medina

Primary specialty

PharmacistTaxonomy code 183500000X

License

13573 Issued in CO

Practice address

3960 Maizeland Rd
Colorado Springs, CO 80909-1608

Phone

(719) 444-4774

Fax

(719) 227-9917

NPI assigned

Nov 11, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Compass Pharmacy LLC

  • Assisted Living Facility
  • Colorado Springs, CO
  • NPI 1750928461
  NPD (past) Authorized official
• Compass Pharmacy LLC

  • Community/Retail Pharmacy
  • Colorado Springs, CO
  • NPI 1972050078
  NPD (past)

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1831667518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 APALOOSA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809231115",
            "telephone_number": "719-963-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 MAIZELAND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091608",
            "telephone_number": "719-444-4774",
            "fax_number": "719-227-9917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5708 Apaloosa Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809231115",
            "country_code": "US",
            "telephone_number": "719-963-9987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "13573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Medina
• Arriana Medina
• Carina Medina, RPH
• Danielle Medina
• Deanna Medina
• Jasmine Medina
• Melanie Louise Medina
• Shilo Medina
• Skylaa Medina, RBT
• Valerie Susann Medina, LMFT

• Pharmacist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; 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.