Healthcare Provider Details

I. General information

NPI: 1477466217
Provider Name (Legal Business Name): ROSS VARGA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11600 W 2ND PL
LAKEWOOD CO
80228-1527
US

IV. Provider business mailing address

370 S 39TH ST
BOULDER CO
80305-5412
US

V. Phone/Fax

Practice location:
  • Phone: 720-321-1187
  • Fax:
Mailing address:
  • Phone: 720-519-2307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1400X
TaxonomyPain Management Pharmacist
License NumberPHA.0018414
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: