Healthcare Provider Details

I. General information

NPI: 1306721857
Provider Name (Legal Business Name): PILLPACK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SOUTH FAIRPLAY ST, SUITE 100
ENGLEWOOD CO
80112
US

IV. Provider business mailing address

7800 SOUTH FAIRPLAY ST, SUITE 100
ENGLEWOOD CO
80112
US

V. Phone/Fax

Practice location:
  • Phone: 855-745-5725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TANVI PATEL
Title or Position: VICE PRESIDENT
Credential:
Phone: 855-745-5725