Healthcare Provider Details

I. General information

NPI: 1053628115
Provider Name (Legal Business Name): USP BELMAR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 W ALAMEDA AVE STE 100 STE 100
LAKEWOOD CO
80226-3075
US

IV. Provider business mailing address

8015 W ALAMEDA AVE STE 100 STE 100
LAKEWOOD CO
80226-3075
US

V. Phone/Fax

Practice location:
  • Phone: 303-274-7877
  • Fax: 303-274-7974
Mailing address:
  • Phone: 303-274-7877
  • Fax: 303-274-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number730000030
License Number StateCO

VIII. Authorized Official

Name: JOHN URRUTIA
Title or Position: PRESIDENT
Credential:
Phone: 303-274-7877