Active NPI
Aubree Sudha Reddy, PHARMD
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1922725209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23925
- Practice address
- 3505 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918-5754 - Phone
- (800) 888-9358
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69873 | TX | |
| Pharmacist | 183500000X | 23925 | CO | Primary |
Addresses
Primary practice location
3505 Austin Bluffs Pkwy Ste 101
Colorado Springs, CO 80918-5754
Mailing address
11136 Cypress Tree PT Apt 108
Colorado Springs, CO 80921-7707
Phone (214) 604-9635
Other practice location 1
U.S. 191 & Hospital Drive
Chinle, AZ 86503
Phone (928) 674-7001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023925 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
| 69873 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23925 | CO | MD | Pharmacist |
| 69873 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1922725209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11136 CYPRESS TREE PT APT 108",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809217707",
"telephone_number": "214-604-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 AUSTIN BLUFFS PKWY STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809185754",
"telephone_number": "800-888-9358"
}
],
"practiceLocations": [
{
"address_1": "U.S. 191 & Hospital Drive",
"address_purpose": "LOCATION",
"city": "Chinle",
"state": "AZ",
"postal_code": "86503",
"country_code": "US",
"telephone_number": "928-674-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "AUBREE",
"middle_name": "SUDHA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-26",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69873",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "23925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "0023925",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "69873",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Mar 2, 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.