CASSANDRA DIVIS (NPI# 1174136477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174136477 |
| Entity Type | Individual |
| Full Name | CASSANDRA DIVIS |
| Credential | PHARMD |
| Practice Address |
140 Paradise Cir Woodland Park CO 80863-9002 |
| Practice Telephone | 7196878104 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22044 | CO | Pharmacy Service Providers |
| Street Address |
140 PARADISE CIR |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669743 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2006-07-29 |
| 1164075792 | Jennifer Lynn Salagaj | Pharmacist | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2019-07-23 |
| 1306113972 | Janet G Nelson | Pharmacist | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2011-11-25 |
| 1679850838 | Richard Paul Willman | Pharmacist | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2011-11-15 |
| 1104103480 | Jennifer Warren | Pharmacist | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217600 | John Edward Thomas | Pharmacist | 19600 E Us Highway 24 Ste 100, Woodland Park, CO 80863-8766 | 2019-04-15 |
| 1760963052 | Rose Pszonka | Pharmacist | 468 Lackawanna Ave, Woodland Park, NJ 07424-2953 | 2018-08-24 |
| 1255766648 | Tania T Ahmed | Pharmacist | 404 Rifle Camp Rd, Woodland Park, NJ 07424-3206 | 2013-09-04 |
| 1679841977 | Diviesh Patel | Pharmacist | 24 Winding Way, Woodland Park, NJ 07424-2665 | 2011-12-01 |
| 1700168473 | Debbie Ward | Pharmacist | 39 Mill Pond Rd, Woodland Park, NJ 07424-2989 | 2011-09-19 |
| 1497923379 | Robert L Spivack | Pharmacist | 5 Cedarwood Ter, Woodland Park, NJ 07424-3708 | 2008-02-13 |
| 1982215786 | Ugne Damkauskaite | Pharmacist | 228 Browertown Rd, Woodland Park, NJ 07424-2680 | 2020-08-14 |
| 1164075792 | Jennifer Lynn Salagaj | Pharmacist | 140 Paradise Cir, Woodland Park, CO 80863-9002 | 2019-07-23 |
| 1376006502 | Todd Grossman | Pharmacist | 19600 E Us Highway 24, Woodland Park, CO 80863-8758 | 2019-04-14 |
| 1043740236 | Jd Steven Fischer I | Pharmacist | 777 Gold Hill Pl S, Woodland Park, CO 80863-1101 | 2017-06-19 |
| Find all providers in WOODLAND PARK | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
Please comment or provide details below to improve the information on CASSANDRA DIVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.