MOUNTAIN KEY RX (NPI# 1275053761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275053761 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN KEY RX |
| Other Organization Name | MOUNTAIN KEY RX |
| Practice Address |
18172 Teller County Road 1 Florissant CO 80816 |
| Practice Telephone | 3038106408 |
| Mailing Telephone | 7193099525 |
| Mailing Fax Number | 7194523884 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | BRENT J. STEIN (OWNER) |
| Authorized Official Telephone | 3038106408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PDO# | 168-172 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain Key Rx | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Key RX, LLC | 18172 Cr1, Florissant, CO 80816 |
| Street Address |
18172 TELLER COUNTY ROAD 1 |
| City | FLORISSANT |
| State | CO |
| Zip Code | 80816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299570 | Brent J. Stein I | Pharmacist | 18172 Teller County Road 1, Florissant, CO 80816 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158104 | Sondra Sabourin | Counselor | 364 Granite Rd, Florissant, CO 80816-8219 | 2007-08-07 |
| 1255452587 | Four Mile Emergency Services, Inc. | Emergency Medical Technician, Paramedic | 8437 Teller Co. Rd. 11, Florissant, CO 80816-8609 | 2007-04-03 |
| 1619473386 | Kerry Duane Hammack | Counselor | 2277 N Mountain Estates Rd, Florissant, CO 80816-8957 | 2018-04-02 |
| 1700241361 | Monique Julia Ekker | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2015-12-28 |
| 1447811518 | Stefanie Skidmore | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2019-06-27 |
| 1508338575 | Outside Rein, LLC | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2018-12-31 |
| 1275944910 | David Robert Jacobs | Home Health Aide | 58 Juniper Cir, Florissant, CO 80816-9008 | 2014-05-15 |
| 1013947985 | Patricia Ann Glatfelter | Specialist | 989 Matterhorn Dr, Florissant, CO 80816-9017 | 2006-07-04 |
| 1427692102 | Megan Renee Grinnell | Registered Nurse | 243 Donzi Trl, Florissant, CO 80816-9226 | 2019-11-05 |
| 1649505215 | Community Smart, Inc. | Case Management | 205 Phoebus Dr, Florissant, CO 80816-9509 | 2009-10-14 |
| Find all providers in zip 80816 | ||||
| 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 |
|---|---|---|---|---|
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1548359219 | Dierbergs Markets Inc | Pharmacy | 222 N Us Highway 67, Florissant, MO 63031-5904 | 2006-10-12 |
| 1457440125 | Dierbergs Markets Inc | Pharmacy | 11298 W Florissant Ave, Florissant, MO 63033-6741 | 2006-10-12 |
| 1144336058 | Christian Hospital Northeast Northwest | Pharmacy | 1224 Graham Rd, Florissant, MO 63031-8028 | 2006-08-22 |
| 1982719910 | Jsb Group LLC | Pharmacy | 2386 N Highway 67, Florissant, MO 63033-2034 | 2006-08-20 |
| 1821020678 | K Mart Corp | Pharmacy | 2855 Dunn Rd, Florissant, MO 63033-6705 | 2006-07-06 |
| 1154352276 | Kmart Operations LLC | Pharmacy | 1 Flower Valley Shopping Ctr, Florissant, MO 63033-1644 | 2006-07-06 |
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|---|---|---|---|---|
| 1053923870 | Professional Pharmacy Services, Inc. | Pharmacy | 4775 Larimer Pkwy Ste 101, Johnstown, CO 80534-9022 | 2020-08-21 |
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1487275129 | Shavano Pharmacy LLC | Pharmacy | 415 Us Highway 24 N, Buena Vista, CO 81211 | 2020-05-05 |
| 1679107486 | Scriptdash Inc | Pharmacy | 1062 Delaware St, Denver, CO 80204-4033 | 2020-03-02 |
| 1518439280 | Eating Recovery Center Pharmacy | Pharmacy | 8199 East 1st Ave, Ste 110, Denver, CO 80230-8023 | 2018-12-19 |
| 1578055810 | Crx Pharmacy LLC | Pharmacy | 206 W County Line Rd Ste 100, Highlands Ranch, CO 80129-2319 | 2018-06-02 |
| 1578050423 | Apotheca LLC | Pharmacy | 171 N. Cora St., Suite 100, Ridgway, CO 81432 | 2018-04-17 |
| 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 |
| 1730612425 | Walmart Inc. | Pharmacy | 9400 Ralston Rd, Arvada, CO 80002-2004 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 80816 |
Please comment or provide details below to improve the information on MOUNTAIN KEY RX.
| 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.