MEDICARE: METRO COMMUNITY PROVIDER NETWORK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1952243826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO COMMUNITY PROVIDER NETWORK, INC.

Provider Business Mailing Address
First Line	:	7495 W 29TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-8002
Country	:	US
Telephone Number	:	303-761-2153
Fax Number	:	303-761-2153

Provider Business Practice Location Address
First Line	:	10260 E COLFAX AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-5017
Country	:	US
Telephone Number	:	303-761-2153
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	APRIL J PEER
Credential	:	CFO
Telephone Number	:	303-761-1977

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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