METRO COMMUNITY PROVIDER NETWORK, INC. (NPI# 1255591780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255591780 |
| Entity Type | Organization |
| Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Other Organization Name | STRIDE CHC - PEORIA PHARMACY |
| Practice Address |
3292 Peoria Street Aurora CO 80110-1517 |
| Mailing Address |
2255 S Oneida St Denver CO 80224-2522 |
| Practice Telephone | 3033436642 |
| Practice Fax Number | 3033436932 |
| Mailing Telephone | 3037611977 |
| Mailing Fax Number | 3037612787 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. BEN R. WIEDERHOLT (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3037611977 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO COMMUNITY PROVIDER NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01552511 | 05 | |
| CO | NCPDP | 0621816 | 01 |
| Other Name | Type Code |
|---|---|
| North Aurora Family Health Services Pharmacy | Other Name - Individual/Organization |
| STRIDE CHC - Peoria Pharmacy | Doing Business As Name - Organization |
| STRIDE CHC-North Aurora Family Health Services Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
| 1558727883 | Metro Community Provider Network, Inc. | Clinic/Center | 10680 Del Mar Parkway, Aurora, CO 80010-4011 | 2015-12-31 |
| 1649605536 | Metro Community Provider Network, Inc. | Clinic/Center | 1537 Alton Street, Aurora, CO 80010-1712 | 2013-09-10 |
| 1811333842 | Metro Community Provider Network, Inc. | Clinic/Center | 1666 Elmira Street, Aurora, CO 80110-2122 | 2013-05-16 |
| 1184961492 | Metro Community Provider Network, Inc. | Clinic/Center | 7495 West 29th Avenue, Wheat Ridge, CO 80033-8002 | 2013-01-07 |
| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
| Street Address |
3292 PEORIA STREET |
| City | AURORA |
| State | CO |
| Zip Code | 80110-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518296417 | Metro Community Provider Network, Inc. | Clinic/Center | 3292 Peoria Street, Aurora, CO 80010-1517 | 2009-12-24 |
| 1902062490 | Monica Lynn Dell'armi | Physician Assistant | 3292 Peoria Street, Aurora, CO 80010-1517 | 2008-08-04 |
| 1205098340 | Metro Community Provider Network, Inc. | Clinic/Center | 3292 Peoria Street, Aurora, CO 80010-1517 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1144681354 | Benivex Inc | Pharmacy | 370 W Indian Trl, Aurora, IL 60506-2451 | 2016-03-15 |
| 1366889115 | Grace Health Pharmacy | Pharmacy | 3191 S Vaughn Way Unit 102, Unit 102, Aurora, CO 80014-3505 | 2013-06-03 |
| 1326330358 | Terrascripts LLC | Pharmacy | 13801 E Yale Ave Unit 119, Aurora, CO 80014-2339 | 2011-05-10 |
| 1992004766 | Highland Pharmacy Inc | Pharmacy | 1177 N. Highland Ave, Suite 203, Aurora, IL 60506 | 2011-03-19 |
| 1114221751 | Medshop Pharmacy LLC | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2010-12-22 |
| 1689833097 | Walgreen Co | Pharmacy | 15310 E Colfax Ave, Aurora, CO 80011-5806 | 2008-06-02 |
| 1114098126 | Rpcs, Inc | Pharmacy | 708 S Elliott Ave, Aurora, MO 65605-2210 | 2006-11-13 |
| 1407957848 | Family Pharmacy Inc | Pharmacy | 1718 S Chambers Rd, Aurora, CO 80017-5023 | 2006-09-26 |
| 1649285586 | Marc Glassman Inc | Pharmacy | 300 Aurora Commons Cir, Aurora, OH 44202-8828 | 2006-07-29 |
| Find all providers in AURORA | ||||
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| 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.