Organization Active NPI

Psquared Medicals, Inc

Doing business as TKS Pharmacy

  • Community/Retail Pharmacy
  • Denver, CO
National Provider Identifier
1861853509
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18533 Issued in CO
Legal business name
PSQUARED MEDICALS, INC
Doing business as
TKS Pharmacy
Practice address
4809 Argonne St Ste 155
Denver, CO 80249-6834
Phone
(303) 246-5013
Fax
(720) 583-0326
NPI assigned
Mar 8, 2016
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Alice Omolabake Soremekun, PHARMDNPI 1861775025
Title
Owner/Pic
Phone
(720) 583-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Community/Retail Pharmacy 3336C0003X 18533 CO Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

4809 Argonne St Ste 155
Denver, CO 80249-6834

Mailing address

4809 Argonne St Ste 155
Denver, CO 80249-6834
Phone (720) 583-2110

Other identifiers 1

IdentifierTypeStateIssuer
64330052MedicaidCO

Other names 1

  • TKS Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Denver Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20161208002372 CO Part B Supplier - Mass Immunization (Roster Biller Only) 3476833476 Practice locations: Denver, CO
O20170621002108 CO DME Supplier - Pharmacy 3476833476 Practice locations: Denver, CO
O20200819000155 CO Part B Supplier - Independent Clinical Laboratory 3476833476 Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Psquared Medicals Inc2 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.

Locations

4809 Argonne St
Ste 155
Denver, CO 80249
Phone (720) 300-0427

4809 Argonne St
Ste 225
Denver, CO 80249
Phone (720) 583-2110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1861853509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST STE 155",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "720-583-2110",
            "fax_number": "720-583-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 ARGONNE ST STE 155",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496834",
            "telephone_number": "303-246-5013",
            "fax_number": "720-583-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSQUARED MEDICALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "SOREMEKUN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "OMOLABAKE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "720-583-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "18533",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64330052",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "endpointDescription": "Processing Patient data and  prescriptions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4809 Argonne St Ste 155",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802496834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TKS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TKS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.