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MEDLY PHARMACY
NPI 1124187224
Pharmacy - Community/Retail Pharmacy in Boulder, CO

Active since December 06, 2006
645 S BROADWAY ST, BOULDER, CO 80305(303) 867-3400(303) 867-3411 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Jan 12, 2022, Sep 16, 2021 and 3 more (6 updates tracked since 2015).

About Medly Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDLY PHARMACY (NPI 1124187224) is a healthcare organization registered as a community/retail pharmacy in Boulder, Colorado and active in the NPI registry since December 2006. The organization lists Alison Farrell, Svp Pharmacy Services, as its authorized official.

NPPES Registry Identity

NPI1124187224
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACA INTEGRATIVE PHARMACY, INC.
Location Address645 S BROADWAY STBoulder, CO 80305
Mailing Address7088 Winchester Cir Ste 100Boulder, CO 80301-3760 · (303) 442-2304 · Fax (303) 867-4181
Phone(303) 867-3400
Fax(303) 867-3411
Organization SubpartNo
Authorized OfficialAlison FarrellSvp Pharmacy Services · (717) 254-9011
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 27, 20226 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1124187224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CO · 670
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
645 S BROADWAY ST, Boulder, CO 80305
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Other Names 1

Doing Business AsMedly Pharmacy

Other Identifiers 2

Other0620179Other Id Number-commercial Number
Other0620179Other Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medly Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20120130000851Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED FRANCIS LUNZ PHARMD
Pharmacist
645 S BROADWAY ST
BOULDER, CO 80305
Boulder County (303) 867-3400
ANDREA SIMONS
Pharmacist
645 S BROADWAY ST
BOULDER, CO 80305
Boulder County (303) 867-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pharmaca Integrative Pharmacy, Inc.'s NPI number?

The NPI number for Pharmaca Integrative Pharmacy, Inc. is 1124187224. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Medly Pharmacy.

Where is Pharmaca Integrative Pharmacy, Inc. located?

Pharmaca Integrative Pharmacy, Inc. is located at 645 S Broadway St, Boulder, CO 80305. The listed phone number is (303) 867-3400.

What is Pharmaca Integrative Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Pharmaca Integrative Pharmacy, Inc. enrolled in Medicare?

Yes. Pharmaca Integrative Pharmacy, Inc. is registered in the Medicare PECOS enrollment system.

When is Pharmaca Integrative Pharmacy, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Mass Immunization (Roster Biller Only)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Pharmaca Integrative Pharmacy, Inc. accept?

Health plans from Moda Health Plan, Inc. list Pharmaca Integrative Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pharmaca Integrative Pharmacy, Inc. was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.