Organization Active NPI

Compass Pharmacy LLC

  • Community/Retail Pharmacy
  • Colorado Springs, CO
National Provider Identifier
1972050078
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1680000128 Issued in CO
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000143127MedicaidCO
2164189OtherPK

Other names 1

  • COMPASS PHARMACY, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compass Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.