Active NPI
Compass Pharmacy LLC
- Community/Retail Pharmacy
- Colorado Springs, CO
National Provider Identifier
1972050078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1680000128
- Legal business name
- COMPASS PHARMACY LLC
- Practice address
- 3960 Maizeland Rd
Colorado Springs, CO 80909-1608 - Phone
- (719) 444-4774
- Fax
- (719) 227-9916
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlo Medina
- Title
- Registered Agent/Ao
- Phone
- (719) 639-4448
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1680000128 | CO | Primary |
Addresses
Primary practice location
3960 Maizeland Rd
Colorado Springs, CO 80909-1608
Mailing address
3960 Maizeland Rd
Colorado Springs, CO 80909-1608
Phone (719) 444-4774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000143127 | Medicaid | CO | |
| 2164189 | Other | PK |
Other names 1
- COMPASS PHARMACY, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Compass Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Colorado Springs, CO
- NPI 1750928461
Locations
3960 Maizeland Rd
Colorado Springs, CO 80909
Phone (719) 444-4774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Colorado Springs, CO
- NPI 1831667518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1972050078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 MAIZELAND RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091608",
"telephone_number": "719-444-4774",
"fax_number": "719-227-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 MAIZELAND RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091608",
"telephone_number": "719-444-4774",
"fax_number": "719-227-9916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "CARLO",
"authorized_official_title_or_position": "REGISTERED AGENT/AO",
"authorized_official_telephone_number": "719-639-4448"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CO",
"license": "1680000128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000143127",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2164189",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPASS PHARMACY, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "COMPASS PHARMACY, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.