FRDA APOTHECARY (NPI# 1003436536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003436536 |
Entity Type | Organization |
Organization Name | FRDA APOTHECARY |
Practice Address |
6801 W 20th St Unit 208 Greeley CO 80634-9640 |
Mailing Address |
Po Box 69 Timnath CO 80547-0069 |
Practice Telephone | 9703010130 |
Mailing Telephone | 9703010130 |
Enumeration Date | 2020-04-24 |
Last Update Date | 2020-06-30 |
Authorized Official Name | MICHELE BLUM (PRACTICE MANAGER) |
Authorized Official Telephone | 9706731155 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | FRDA Apothecary, LLC | 6801 W 20th Street, Suite208, Greeley, CO 80634 |
Street Address |
6801 W 20TH ST UNIT 208 |
City | GREELEY |
State | CO |
Zip Code | 80634-9640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104916923 | Colleen Ines Andrijiw | Physician Assistant | 6801 W 20th St Unit 208, Greeley, CO 80634 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
Find all providers in zip 80634 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518060672 | Univ of N Co Student Hlth Ctr | Pharmacy | 1901 10th Ave, Cassidy Hall, Greeley, CO 80631 | 2006-09-06 |
1700827441 | Professional Pharmacy Services | Pharmacy | 1900 16th St, Greeley, CO 80631-5114 | 2006-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811328032 | Denver Health and Hospital Authority | Pharmacy | 1001 Yosemite St Ste 100, Denver, CO 80230-6003 | 2013-12-13 |
1932437746 | Peak Vista Community Health Center | Pharmacy | 410 Gold Pass Heights, Colorado Springs, CO 80906 | 2009-12-07 |
1942433198 | Battlement Grocery LLC | Pharmacy | 71 Sipprelle Dr, Parachute, CO 81635-9232 | 2009-09-03 |
1255470795 | Denver Health and Hospital Authority | Pharmacy | 790 Delaware St, Denver, CO 80204-4532 | 2007-02-05 |
1821024258 | The Apothecary | Pharmacy | Wardenburg Health Center, Campus Box 119, Boulder, CO 80309-0001 | 2006-06-25 |
1053357855 | Medical Center of The Rockies | Pharmacy | Boulder Health Center Pharmacy, 5495 East Arapahoe Road Suite 101, Boulder, CO 80303 | 2006-06-21 |
1225017643 | Vail Clinic, Inc. | Pharmacy | 322 Beard Creek Rd, Edwards, CO 81632-6426 | 2006-01-13 |
1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
1356995716 | Elevate Clinical Pharmacology Services LLC | Pharmacy | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3402 | 2019-07-24 |
1164883955 | Denver Health & Hospital Authority | Pharmacy | 1339 S Federal Blvd, Denver, CO 80219-4235 | 2016-03-08 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.