Healthcare Provider Details
I. General information
NPI: 1932332947
Provider Name (Legal Business Name): CHARMAINE DENISE MOYA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/25/2009
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18550 GREEN VALLEY RANCH BLVD
DENVER CO
80249-6831
US
IV. Provider business mailing address
18550 GREEN VALLEY RANCH BLVD
DENVER CO
80249-6831
US
V. Phone/Fax
- Phone: 720-214-1030
- Fax: 720-214-1033
- Phone: 720-214-1030
- Fax: 720-214-1033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP00006080 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: