VISTA CARE PHARMACY LLC (NPI# 1053780866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053780866 |
| Entity Type | Organization |
| Organization Name | VISTA CARE PHARMACY LLC |
| Other Organization Name | VISTA CARE PHARMACY |
| Practice Address |
133 Adams St Monte Vista CO 81144-1444 |
| Practice Telephone | 7196282661 |
| Mailing Telephone | 7196282661 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | BRYAN SALAZAR (PHARMACIST MANAGER) |
| Authorized Official Telephone | 7196282661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PDO.1680000095 | CO | Suppliers |
| Other Name | Type Code |
|---|---|
| Vista Care Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vista Care Pharmacy LLC | 133 Adams St, Monte Vista, CO 81144 |
| Street Address |
133 ADAMS ST |
| City | MONTE VISTA |
| State | CO |
| Zip Code | 81144-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134599079 | Dana Manriquez | Pharmacist | 133 Adams St, Monte Vista, CO 81144-1444 | 2015-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598090888 | Michael John Noonan | Physician Assistant | 95-a W. 1st Ave., Rio Grande Medical Center, Monte Vista, CO 81144 | 2009-10-05 |
| 1114085875 | State of Colorado | Skilled Nursing Facility | 3749 Sherman St, Monte Vista, CO 81144 | 2006-12-05 |
| 1336212794 | Sargent School District Re 33j | Local Education Agency (LEA) | 7090 N Rd 2 East, Monte Vista, CO 81144 | 2006-11-15 |
| 1538148085 | Brian Mark Roberts | Dentist | 403 Dunham St, Monte Vista, CO 81144-0403 | 2006-01-12 |
| 1407817497 | Monte Vista Investors, LLC | Assisted Living Facility | 100 Chico Camino St, Monte Vista, CO 81144-1016 | 2006-03-29 |
| 1548269186 | Richard Donald Santi | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2005-07-15 |
| 1386142420 | Joseph A. Lucero | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2018-01-23 |
| 1992167704 | Richard D. Santi, D.d.s., P.C. | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2016-03-22 |
| 1427465178 | Joseph Lucero | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2014-07-15 |
| 1487848065 | Mark J Mills | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2007-08-28 |
| Find all providers in zip 81144 | ||||
| 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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| 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 |
| 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 |
| 1548536899 | Pioneer Pharmacy LLC | Pharmacy | 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597 | 2012-03-30 |
| 1447374046 | Kohler Professional Pharmacy LLC | Pharmacy | 1007 Elkton Drive, Colorado Springs, CO 80907-7556 | 2007-03-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONTE VISTA |
| Zip Code | 81144 |
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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.