ESSENTIAL PHARMACY BOULDER LLC (NPI# 1174723241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174723241 |
| Entity Type | Organization |
| Organization Name | ESSENTIAL PHARMACY BOULDER LLC |
| Other Organization Name | ESSENTIAL PHARMACY COMPOUNDING |
| Practice Address |
1001 Lee Hill Dr Suite 200b Boulder CO 80302-9471 |
| Mailing Address |
2525 Arapahoe Ave Suite E-4, #542 Boulder CO 80302-6720 |
| Practice Telephone | 3034490089 |
| Practice Fax Number | 3034430092 |
| Mailing Telephone | 3034490089 |
| Mailing Fax Number | 3034430092 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | LISA R RITTEL (MANAGING MEMBER) |
| Authorized Official Telephone | 3036414016 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
17337 | CO | Suppliers |
| Other Name | Type Code |
|---|---|
| Essential Pharmacy Compounding | Doing Business As Name - Organization |
| Street Address |
1001 LEE HILL DR SUITE 200B |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-9471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619278165 | Zachary Gergely | Pharmacist | 1001 Lee Hill Dr, Suite 200b, Boulder, CO 80302-9471 | 2010-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1710276100 | Saint Joseph Hospital, Inc | Pharmacy | 1825 N Marion St, Denver, CO 80218-1122 | 2011-04-06 |
| 1750694071 | Bioscrip, Inc. | Pharmacy | 1600 Broadway, Suite 700, Denver, CO 80202-4927 | 2010-07-15 |
| 1528205218 | Founders Healthcare, LLC | Pharmacy | 6900 W Jefferson Ave, Ste 125, Lakewood, CO 80235 | 2009-01-16 |
Please comment or provide details below to improve the information on ESSENTIAL PHARMACY BOULDER 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.