NPIMap

Organization Active NPI

Apex Pharmacy LLC

  • Community/Retail Pharmacy
  • Aurora, CO
National Provider Identifier
1891305108
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
APEX PHARMACY LLC
Doing business as
APEX PHARMACY llc
Practice address
12597 E Mississippi Ave Unit 300
Aurora, CO 80012-3460
Phone
(678) 755-5601
Fax
(303) 479-3863
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. Mariamawit Desta, PHARMD.NPI 1598191678
Title
Owner
Phone
(678) 755-5601

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
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

12597 E Mississippi Ave Unit 300
Aurora, CO 80012-3460

Mailing address

12597 E Mississippi Ave Unit 300
Aurora, CO 80012-3460
Phone (678) 755-5601

Other names 1

  • APEX PHARMACY llc Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL aurora
Other URL Aurora

National Provider Directory

National Provider Directory

Locations

12597 E Mississippi Ave
#30
Aurora, CO 80012
Phone (303) 479-3864

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1891305108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12597 E MISSISSIPPI AVE UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123460",
            "telephone_number": "678-755-5601",
            "fax_number": "303-479-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12597 E MISSISSIPPI AVE UNIT 300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123460",
            "telephone_number": "678-755-5601",
            "fax_number": "303-479-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "MARIAMAWIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-755-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aurora",
            "affiliation": "N",
            "address_1": "12597 E Mississippi Ave Unit 300",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800123460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Aurora",
            "affiliation": "N",
            "endpointDescription": "PioneerRX",
            "address_1": "12597 E Mississippi Ave Unit 300",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800123460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "APEX PHARMACY llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APEX PHARMACY llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.