PROFESSIONAL PHARMACY, LLC (NPI# 1013152198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013152198 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PHARMACY, LLC |
| Other Organization Name | PROFESSIONAL PHARMACY, LLC |
| Practice Address |
595 Chapel Hills Dr Ste 104 Colorado Springs CO 80920-1024 |
| Mailing Address |
6660 Delmonico Dr Suite D-268 Colorado Springs CO 80919-1899 |
| Practice Telephone | 7196338278 |
| Practice Fax Number | 7192286911 |
| Mailing Telephone | 7195329705 |
| Mailing Fax Number | 7195321699 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | KEN WATERHOUSE (MANAGER) |
| Authorized Official Telephone | 7195329705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 754 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118132 | 01 | |
| CO | 44283385 | 05 |
| Other Name | Type Code |
|---|---|
| Professional Pharmacy, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396309829 | Professional Pharmacy, LLC | Pharmacy | 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 | 2019-04-30 |
| 1700873544 | Professional Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 342 Bogle St, Suite 3, Somerset, KY 42503-2851 | 2005-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Professional Pharmacy, LLC | 595 Chapel Hills Drive, Suite 104, Colorado Springs, CO 80919 |
| Street Address |
595 CHAPEL HILLS DR STE 104 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396309829 | Professional Pharmacy, LLC | Pharmacy | 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639689904 | Evans Army Community Hospital | Pharmacy | 565 Space Center Dr Ste 130, Colorado Springs, CO 80915-3610 | 2017-10-02 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1972050078 | Compass Pharmacy LLC | Pharmacy | 3960 Maizeland Rd, Colorado Springs, CO 80909-1608 | 2016-09-07 |
| 1235318544 | Powers Independent Pharmacy | Pharmacy | 8540 Scarborough Dr Ste 150, Colorado Springs, CO 80920-7533 | 2007-11-02 |
| 1376671636 | Joseph C Ruskin Enterprises Inc | Pharmacy | 2504 E Pikes Peak Ave Ste 106, Colorado Springs, CO 80909-7039 | 2007-03-01 |
| 1154421493 | El Paso County | Pharmacy | 27 E Vermijo Ave Ste 005, Colorado Springs, CO 80903-2208 | 2006-09-25 |
| 1194837021 | Pharmacies West Inc | Pharmacy | 3159 W Colorado Ave, Colorado Springs, CO 80904-2040 | 2006-08-31 |
| 1568483519 | Bethel Business LLC | Pharmacy | 1640 S Nevada Ave, Colorado Springs, CO 80905-2222 | 2006-07-22 |
| 1821015181 | Walmart Inc. | Pharmacy | 3201 E Platte Ave, Colorado Springs, CO 80909-6408 | 2006-07-16 |
| 1023041696 | Pharmerica Drug Systems LLC | Pharmacy | 1041 Elkton Dr, Suite A, Colorado Springs, CO 80907-3539 | 2006-07-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
Please comment or provide details below to improve the information on PROFESSIONAL PHARMACY, LLC.
| 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.