ARVADA PHARMACY AND MEDICAL SUPPLY (NPI# 1376000950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376000950 |
| Entity Type | Organization |
| Organization Name | ARVADA PHARMACY AND MEDICAL SUPPLY |
| Other Organization Name | ARVADA PHARMACY |
| Practice Address |
10382 Ralston Rd Arvada CO 80004-5860 |
| Practice Telephone | 7207072444 |
| Practice Fax Number | 7207072400 |
| Mailing Telephone | 7207072444 |
| Mailing Fax Number | 7207072400 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2020-10-03 |
| Authorized Official Name | JULIA UKHNOVSKY (CEO) |
| Authorized Official Telephone | 7207072444 |
| Authorized Official Credential | CPHT,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0626599 | 01 | |
| CO | COLORADO STATE DME LICENSE | 20206000260 | 01 |
| CO | CITY OF ARVADA | 87071000 | 01 |
| CO | DEA CERTIFICATE | FA8238897 | 01 |
| CO | STATE OF COLORADO BOARD OF PHARMACY | PDO.1680000194 | 01 |
| CO | 9000171561 | 05 | |
| CO | COLORADO SALEX TAX LICENSE | 38356159 | 01 |
| Other Name | Type Code |
|---|---|
| Arvada Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Arvada Pharmacy and Medical Supply,Inc | 10382 Ralston Rd, Arvada, CO 80004 |
| Street Address |
10382 RALSTON RD |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-5860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649464249 | Medstuff Inc | Durable Medical Equipment & Medical Supplies | 10382 Ralston Rd, Arvada, CO 80004-5860 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427084201 | Safeway Inc | Pharmacy | 9517 Ralston Rd, Arvada, CO 80002 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890696 | Honest Oak LLC | Pharmacy | 550 5th Street, Suite 2, Calhan, CO 80808 | 2020-10-30 |
| 1245843150 | Tommy Ho | Pharmacy | 5864 W Mexico Ave, Lakewood, CO 80232-7044 | 2020-08-28 |
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1952913071 | Strive Pharmacy Denver LLC | Pharmacy | 11405 E Briarwood Ave Ste 300, Centennial, CO 80112-3848 | 2020-08-19 |
| 1669082517 | Rapharx LLC | Pharmacy | 1260 S Parker Rd Ste B, Denver, CO 80231-8064 | 2020-08-05 |
| 1285254763 | Capsule Denver LLC | Pharmacy | 1441 Wazee St Ste 103, Denver, CO 80202-5952 | 2020-04-24 |
| 1770114407 | Four Corners Pharmacy, LLC | Pharmacy | 575 Rivergate Ste 110, Durango, CO 81301-7487 | 2020-01-31 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1689217861 | 888 Pharmacy Inc | Pharmacy | 5092 W 92nd Ave Ste D-8, Westminster, CO 80031-6302 | 2019-10-21 |
| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
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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.