Colorado Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

302 Issued in CO

Legal business name

COLORADO PHARMACY LLC

Practice address

1245 E Colfax Ave
Denver, CO 80218-2238

Phone

(303) 863-7644

Fax

(303) 863-7656

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Jane Nichols

Title

President

Phone

(303) 863-7644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colorado Pharmacy Doing business as

Tax ID family

Colorado Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Colorado Pharmacy LLC

  • Pharmacist
  • Denver, CO
  • NPI 1306831995
  NPD tax ID

Locations

Practitioners 2

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

• James Demarest, PHARM. D.

  • Pharmacist
  • Denver, CO
  • NPI 1134475965
  NPD (past)
• Lizette Grace Shalter, PHARMD

  • Pharmacist
  • Denver, CO
  • NPI 1285987545
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1851386841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300127",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802030127",
            "telephone_number": "303-863-7644",
            "fax_number": "303-863-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802182238",
            "telephone_number": "303-863-7644",
            "fax_number": "303-863-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-863-7644"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27325334",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Pharmacy LLC
• Colorado Physician Injury Network
• Colorado Physician Partners, PLLC
• Colorado Podiatry Consultants PC
• Colorado Post-Acute Medical Services 1 PC
• Colorado Professional Medical

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.