Active NPI
Michael Alexander Versackas, PHARMD, MBA
- Pharmacist
- Denver, CO
National Provider Identifier
1972030484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0019414
- Practice address
- 757 E 20TH Ave
Denver, CO 80205-3278 - Phone
- (303) 861-1212
- NPI assigned
- May 15, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0019414 | CO | Primary |
Addresses
Primary practice location
757 E 20TH Ave
Denver, CO 80205-3278
Mailing address
757 E 20TH Ave
Denver, CO 80205-3278
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019414 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Colorado | Current | Accepting new patients |
Interoperability endpoints
- michael.versackas@shs.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic Pharmacy
- Aurora, CO
- NPI 1992576722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1972030484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 E 20TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802053278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 E 20TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802053278",
"telephone_number": "303-861-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSACKAS",
"first_name": "MICHAEL",
"middle_name": "ALEXANDER",
"credential": "PHARMD, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0019414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.