Active NPI
Desirae Rodriguez, PHRM D
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1881477453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0024523
- Practice address
- 5060 N Academy Blvd
Colorado Springs, CO 80918-4124 - Phone
- (719) 593-1343
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0024523 | CO | Primary |
Addresses
Primary practice location
5060 N Academy Blvd
Colorado Springs, CO 80918-4124
Mailing address
1330 Kelly Johnson Blvd Apt 312
Colorado Springs, CO 80920-4092
Phone (505) 715-7424
Other names 1
- Dr. Desirae Rodriguez
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0024523 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1881477453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 KELLY JOHNSON BLVD APT 312",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204092",
"telephone_number": "505-715-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809184124",
"telephone_number": "719-593-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DESIRAE",
"name_prefix": "Mrs.",
"credential": "PHRM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0024523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESIRAE",
"last_name": "RODRIGUEZ",
"prefix": "DR.",
"credential": "PHRM D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.