Healthcare Provider Details

I. General information

NPI: 1750002671
Provider Name (Legal Business Name): REYNA RODRIGUEZ RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 S REVERE PKWY STE 902
CENTENNIAL CO
80112-6787
US

IV. Provider business mailing address

8520 S HOLLAND LN UNIT 304
LITTLETON CO
80128-6719
US

V. Phone/Fax

Practice location:
  • Phone: 720-389-7597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0024123
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: