Provider Demographics
NPI:1215096318
Name:GOLDIN PHARMACY AND MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:GOLDIN PHARMACY AND MEDICAL SUPPLY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-355-6818
Mailing Address - Street 1:909 S ONEIDA ST
Mailing Address - Street 2:STE 11
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3582
Mailing Address - Country:US
Mailing Address - Phone:303-355-6818
Mailing Address - Fax:303-320-0729
Practice Address - Street 1:909 S ONEIDA ST
Practice Address - Street 2:STE 11
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3582
Practice Address - Country:US
Practice Address - Phone:303-355-6818
Practice Address - Fax:303-320-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03003506Medicaid
2003206OtherPK
2003206OtherPK