HAVANA PHARMACY AND MEDICAL SUPPLY LLC (NPI# 1225455090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225455090 |
| Entity Type | Organization |
| Organization Name | HAVANA PHARMACY AND MEDICAL SUPPLY LLC |
| Practice Address |
1555 S Havana St Ste Hj Aurora CO 80012-5004 |
| Practice Telephone | 3037503600 |
| Practice Fax Number | 3037503607 |
| Mailing Telephone | 3037503600 |
| Mailing Fax Number | 3037503607 |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | MRS. MARTHA MEJIA (FACILITY DIRECTOR) |
| Authorized Official Telephone | 3037503600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000000836 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 43558828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972871333 | Havana Pharmacy and Medical Supply LLC | Pharmacy | 1555 S Havana St Unit Hj, Aurora, CO 80012-5004 | 2011-12-13 |
| Street Address |
1555 S HAVANA ST STE HJ |
| City | AURORA |
| State | CO |
| Zip Code | 80012-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649701244 | Havana Pharmacy and Medical Supply | Durable Medical Equipment & Medical Supplies | 1555 S Havana St Ste Hj, Aurora, CO 80012-5004 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537762 | Moa LLC | Durable Medical Equipment & Medical Supplies | 2851 S Parker Rd Ste 984, Aurora, CO 80014-2705 | 2020-01-21 |
| 1871134544 | Tori Velasquez | Durable Medical Equipment & Medical Supplies | 13950 E Oxford Pl Apt A301, Aurora, CO 80014-7122 | 2019-10-03 |
| 1699321778 | Rocky Mountain Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3350 Peoria St Ste 100, Aurora, CO 80010-1484 | 2019-08-14 |
| 1619522943 | Entramed, Inc | Durable Medical Equipment & Medical Supplies | 2821 S Parker Rd Ste 405, Aurora, CO 80014-2748 | 2019-08-05 |
| 1962063305 | Mta Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2620 S Parker Rd Ste 273, Aurora, CO 80014-1627 | 2019-06-26 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1023573466 | Star Medical | Durable Medical Equipment & Medical Supplies | 7039 S Picadilly St, Aurora, CO 80016-2344 | 2019-02-08 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1255839759 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 21111 E 36th Dr, Aurora, CO 80011-8152 | 2018-01-30 |
| 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.