KEBD ENTERPRISES, LLC (NPI# 1831249580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831249580 |
| Entity Type | Organization |
| Organization Name | KEBD ENTERPRISES, LLC |
| Other Organization Name | BELMAR PHARMACY |
| Practice Address |
12860 W Cedar Dr Suite 210 Lakewood CO 80228-1975 |
| Practice Telephone | 3037635533 |
| Practice Fax Number | 3037635552 |
| Mailing Telephone | 3037635533 |
| Mailing Fax Number | 3037635552 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. DAVE WILLIAMS HILL (OWNER) |
| Authorized Official Telephone | 3037635533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
73-18 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NABP | 0604923 | 01 |
| Other Name | Type Code |
|---|---|
| Belmar Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KEBD Enterprises, LLC | 2350 S. Clayton St, Suite 210, Denver, CO 80210 |
| New York State Corporations | KEBD ENTERPRISES, LLC | 122 East 42nd Street, 18th Floor, New York, New York 10168 |
| Oklahoma Business Registrations | KEBD ENTERPRISES, LLC | 2350 S Clayton St, Denver, CO 80210 |
| Street Address |
12860 W CEDAR DR SUITE 210 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366795791 | Julie Brown | Pharmacist | 12860 W Cedar Dr, #210, Lakewood, CO 80228-1975 | 2012-10-23 |
| 1932452612 | Tina Vanhess Ptaskiewicz | Pharmacist | 12860 W Cedar Dr, #210, Lakewood, CO 80228-1975 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568771376 | Franciscan Health System | Pharmacy | 11315 Bridgeport Way Sw Ste A1087, Lakewood, WA 98499-3004 | 2010-09-28 |
| 1114244878 | Prescriptions R Us | Pharmacy | 301 Madison Ave, Ste 7, Lakewood, NJ 08701-3266 | 2010-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437526266 | Alameda Pharmacy and Medical Supply | Pharmacy | 2370 W Alameda Ave Unit 8, Denver, CO 80223-1991 | 2015-08-27 |
| 1134561749 | Peak Rx, LLC | Pharmacy | 801 S Perry St Ste 100, Castle Rock, CO 80104-1924 | 2013-07-24 |
| 1932453289 | Pagosa P&c Inc. | Pharmacy | 426 Pagosa Street, Pagosa Springs, CO 81147 | 2012-11-07 |
| 1972871333 | Havana Pharmacy and Medical Supply LLC | Pharmacy | 1555 S Havana St Unit Hj, Aurora, CO 80012-5004 | 2011-12-13 |
| 1124262563 | Gj Compounding LLC | Pharmacy | 2472 Patterson Rd., Ste. 12, Grand Junction, CO 81505 | 2009-04-29 |
| 1013152198 | Professional Pharmacy, LLC | Pharmacy | 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 | 2008-12-03 |
| 1912193343 | Advanced Pharmacy Services LLC | Pharmacy | 4605 Quebec St, Ste B-11, Denver, CO 80216-3405 | 2007-09-19 |
| 1710055538 | Batson LLC | Pharmacy | 301 Broadway St, Eagle, CO 81631-9001 | 2006-12-01 |
| 1508937517 | Rocky Mountain Pharmacy of Estes Park Inc | Pharmacy | 455 E Wonder View Ave # B1, Estes Park, CO 80517-9647 | 2006-11-13 |
| 1316052343 | Rxplus Limited, LLC | Pharmacy | 403 Us Hwy 24 South, Buena Vista, CO 81211 | 2006-08-20 |
| 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.