Healthcare Provider Details

I. General information

NPI: 1821375452
Provider Name (Legal Business Name): RYAN JEFFREY CARPENTER PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE STE 150
ENGLEWOOD CO
80113-3875
US

IV. Provider business mailing address

499 E HAMPDEN AVE STE 150
ENGLEWOOD CO
80113-3875
US

V. Phone/Fax

Practice location:
  • Phone: 303-524-3750
  • Fax: 303-524-3762
Mailing address:
  • Phone: 303-524-3750
  • Fax: 303-524-3762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46879
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0023970
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: