PARK AVE APOTHECARY LLC (NPI# 1043862485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043862485 |
| Entity Type | Organization |
| Organization Name | PARK AVE APOTHECARY LLC |
| Practice Address |
2431 N Union Blvd Colorado Springs CO 80909-1107 |
| Practice Telephone | 7196303154 |
| Practice Fax Number | 7196301640 |
| Mailing Telephone | 7196303154 |
| Mailing Fax Number | 7196301640 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | PATRICK SCHEELS (OWNER) |
| Authorized Official Telephone | 3038987183 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK AVE APOTHECARY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE PHARMACY LICENSE | 240000040 | 01 |
| PTAN | 7599910001 | 01 | |
| CO | 03577319 | 05 |
| Other Name | Type Code |
|---|---|
| Medicine Shoppe #437 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538668 | Park Ave Apothecary LLC | Durable Medical Equipment & Medical Supplies | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2006-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Park Ave Apothecary LLC | 2431 N Union Blvd, Colorado Springs, CO 80909 |
| Street Address |
2431 N UNION BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568538668 | Park Ave Apothecary LLC | Durable Medical Equipment & Medical Supplies | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2006-11-28 |
| 1699105874 | Sarah Richardson | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2013-11-25 |
| 1669740825 | Karen Patricia Williams | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-02 |
| 1730457995 | Douglas Massingill | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-02 |
| 1376811695 | Jennifer Dawn Cantrell | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-01 |
| 1346518669 | Jeffrey Lynn Stoner | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-01 |
| 1861713372 | Rhiannon Trepanier Harfert | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2010-06-18 |
| 1942437975 | Eugene T Bockrath | Pharmacy | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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|---|---|---|---|---|
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| 1447374046 | Kohler Professional Pharmacy LLC | Pharmacy | 1007 Elkton Drive, Colorado Springs, CO 80907-7556 | 2007-03-19 |
| 1285746115 | Pharmacies West Inc | Pharmacy | 2306 N Wahsatch Ave, Colorado Springs, CO 80907-6957 | 2006-08-31 |
| 1396309829 | Professional Pharmacy, LLC | Pharmacy | 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 | 2019-04-30 |
| 1841745528 | Premier Pharmacy Group LLC | Pharmacy | 101 S Union Blvd, Colorado Springs, CO 80910-3137 | 2016-08-23 |
| 1194002527 | Mike Epstein | Pharmacy | 101 S Union Blvd, Colorado Springs, CO 80910-3137 | 2011-11-14 |
| 1174784268 | Genoa Healthcare, LLC | Pharmacy | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2008-06-20 |
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|---|---|---|---|---|
| 1659918894 | Beatties Community Pharmacy LLC | Pharmacy | 3140 Village Vista Dr Unit 100, Erie, CO 80516-2529 | 2019-12-06 |
| 1710477385 | Cd Colorado Pharmacy LLC | Pharmacy | 1240 S Parker Rd Ste 200, Denver, CO 80231-2177 | 2018-05-18 |
| 1275053761 | Mountain Key Rx | Pharmacy | 18172 Teller County Road 1, Florissant, CO 80816 | 2017-06-26 |
| 1053780866 | Vista Care Pharmacy LLC | Pharmacy | 133 Adams St, Monte Vista, CO 81144-1444 | 2015-09-22 |
| 1235516402 | Op Pharmacy LLC | Pharmacy | 6021 S Syracuse Way Ste 117, Greenwood Village, CO 80111-4747 | 2015-04-27 |
| 1326483108 | Trhc Opco, Inc. | Pharmacy | 5303 Spine Rd Ste 100, Boulder, CO 80301-3300 | 2013-05-07 |
| 1467580720 | High Plains Medical LLC | Pharmacy | 314 14th St, Burlington, CO 80807-1608 | 2007-03-01 |
| 1265597447 | Rx Plus Limited Palisade LLC | Pharmacy | 707 Elberta Ave Unit B, Palisade, CO 81526-8806 | 2006-12-27 |
| 1871667246 | Omnicare of New York, LLC | Pharmacy | 504 28 1/4 Rd, Grand Junction, CO 81501-4993 | 2006-11-20 |
| 1174600209 | Haldun Inc A Colorado Corporation | Pharmacy | 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on PARK AVE APOTHECARY 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.