Healthcare Provider Details

I. General information

NPI: 1851775548
Provider Name (Legal Business Name): CACI BOSHART PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 04/26/2025
Certification Date: 04/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 BYRD DR
LOVELAND CO
80538-7198
US

IV. Provider business mailing address

1055 CLERMONT ST 119
DENVER CO
80220-3808
US

V. Phone/Fax

Practice location:
  • Phone: 970-962-4900
  • Fax: 970-962-4901
Mailing address:
  • Phone: 303-399-8020
  • Fax: 303-393-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14949
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14949
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: