HAVANA PHARMACY AND MEDICAL SUPPLY LLC (NPI# 1972871333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972871333 |
| Entity Type | Organization |
| Organization Name | HAVANA PHARMACY AND MEDICAL SUPPLY LLC |
| Other Organization Name | HAVANA PHARMACY AND MEDICAL SUPPLY |
| Practice Address |
1555 S Havana St Unit Hj Aurora CO 80012-5004 |
| Practice Telephone | 3037503600 |
| Practice Fax Number | 3037503607 |
| Mailing Telephone | 3037503600 |
| Mailing Fax Number | 3037503607 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | GEORGE SACKEY (PHARMACIST/OWNER) |
| Authorized Official Telephone | 3036680032 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
836 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0622363 | 01 |
| Other Name | Type Code |
|---|---|
| Havana Pharmacy and Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225455090 | Havana Pharmacy and Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1555 S Havana St Ste Hj, Aurora, CO 80012-5004 | 2014-03-18 |
| Street Address |
1555 S HAVANA ST UNIT HJ |
| City | AURORA |
| State | CO |
| Zip Code | 80012-5004 |
| 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 | 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 |
|---|---|---|---|---|
| 1184251480 | Prism Pharmacy Aurora LLC | Pharmacy | 475 N Farnsworth Ave Ste 101, Aurora, IL 60505-3005 | 2020-03-25 |
| 1902444920 | Preferred Prescriptions Pharmacy LLC | Pharmacy | 1281 N Farnsworth Ave Ste 1a, Aurora, IL 60505-2445 | 2019-12-20 |
| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| 1881160729 | Shreejee Corporation | Pharmacy | 4050 Healthway Dr Ste 100, Aurora, IL 60504-8184 | 2018-10-18 |
| 1679909105 | Xenia Custom Pharmacy, LLC | Pharmacy | 14001 E Iliff Ave Ste 200, Aurora, CO 80014-1425 | 2013-09-16 |
| 1952559841 | Cvs Pharmacy Inc. | Pharmacy | 15700 E Briarwood Cir, Aurora, CO 80016-1558 | 2008-09-04 |
| 1447457726 | Walgreen Co | Pharmacy | 22 N Constitution Dr, Aurora, IL 60506-3202 | 2007-06-29 |
| 1710184106 | University of Colorado Hospital Authority | Pharmacy | 12605 E 16th Ave Rm 1054, Mail Stop A027, Aurora, CO 80045-2545 | 2007-06-28 |
| 1962606855 | University of Colorado Hospital Authority | Pharmacy | 1635 Aurora Ct Rm 7284, Mail Stop F-702, Aurora, CO 80045-2541 | 2007-06-13 |
| 1114009537 | Colonial Drugs, Inc. | Pharmacy | 1032 Prairie St, Aurora, IL 60506-5447 | 2006-10-19 |
| 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.