Active NPI
Michael Pacheco
- Ambulatory Care Pharmacist
- Lakewood, CO
National Provider Identifier
1912748302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PHA.19975
- Practice address
- 8383 W Alameda Ave
Lakewood, CO 80226-3099 - Phone
- (303) 239-7465
- Fax
- (720) 239-7405
- NPI assigned
- Jun 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PHA.19975 | CO | Primary |
Addresses
Primary practice location
8383 W Alameda Ave
Lakewood, CO 80226-3099
Mailing address
8383 W Alameda Ave
Lakewood, CO 80226-3099
Phone (303) 239-7465
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.19975 | CO | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1912748302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8383 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263099",
"telephone_number": "303-239-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263099",
"telephone_number": "303-239-7465",
"fax_number": "720-239-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CO",
"license": "PHA.19975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.