STATE OF COLORADO (NPI# 1295917938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295917938 |
| Entity Type | Organization |
| Organization Name | STATE OF COLORADO |
| Other Organization Name | COLORADO DEPARTMENT OF CORRECTIONS PHARMACY |
| Practice Address |
1600 W 24th St Bldg 16 Pueblo CO 81003-1411 |
| Practice Telephone | 7195835819 |
| Practice Fax Number | 7195835825 |
| Mailing Telephone | 7195835819 |
| Mailing Fax Number | 7195835825 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | ERIKA WILSON (PHARMACY MANAGER) |
| Authorized Official Telephone | 7203190445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
990000001 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0617552 | 01 |
| Other Name | Type Code |
|---|---|
| COLORADO DEPARTMENT OF CORRECTIONS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1396995601 | State of Colorado | Clinical Medical Laboratory | 1802 Colorado Ave, La Junta, CO 81050-3400 | 2008-09-23 |
| 1750427654 | State of Colorado | Local Education Agency (LEA) | 33 N Institute St, Colorado Springs, CO 80903-3508 | 2007-01-29 |
| 1114085875 | State of Colorado | Skilled Nursing Facility | 3749 Sherman St, Monte Vista, CO 81144 | 2006-12-05 |
| 1508931536 | State of Colorado | Skilled Nursing Facility | 1919 Quentin Street, Aurora, CO 80045 | 2006-11-22 |
| 1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
| 1093702722 | State of Colorado | Skilled Nursing Facility | 851 East 5th Street, Rifle, CO 81650-2941 | 2005-09-27 |
| 1669470910 | State of Colorado | Skilled Nursing Facility | 903 Moore Dr, Florence, CO 81226-9509 | 2005-07-11 |
| 1053579177 | State of Colorado | Pharmacy | 1919 Quentin St, Aurora, CO 80045-7125 | 2008-05-27 |
| 1386818383 | State of Colorado | Non-emergency Medical Transport (VAN) | 409 Benedicta Ave, Trinidad State Nursing Home, Trinidad, CO 81082-2004 | 2008-04-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | State of Colorado Foreclosures, LLC | 2525 Arapahoe Ave. Suite E4-402, Boulder, CO 80302 |
| Colorado Business Entities | STATE OF COLORADO INTERDISCIPLINARY COMMITTEE ON CHILD CUSTODY | 357 S. Mccaslin Blvd, Suite 200, Louisville, CO 80027 |
| Street Address |
1600 W 24TH ST BLDG 16 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048917 | Lennart Rolf Abel | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1411 | 2005-10-26 |
| 1306321294 | Cher Li Ang | Psychiatry & Neurology | 1600 W 24th St, Pueblo, CO 81003-1499 | 2018-09-26 |
| 1255815668 | Kalpana Narayanan Nair | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2018-09-21 |
| 1336651884 | Susan Oehler | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-10-24 |
| 1851831846 | Annabelle Florez | Nurse Practitioner | 1600 W 24th St, Pueblo, CO 81003-1411 | 2017-02-24 |
| 1114478245 | Miriam Suzanne Scott | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2016-10-24 |
| 1558746362 | Ryan Stanton Morris | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2015-07-22 |
| 1942691365 | Niesa Parmelee | Registered Nurse | 1600 W 24th St, Pueblo, CO 81003-1411 | 2015-02-06 |
| 1336547090 | Devona Marie Walter | Social Worker | 1600 W 24th St, Pueblo, CO 81003-1411 | 2014-12-11 |
| 1871918037 | Regan Young | Counselor | 1600 W 24th St, Pueblo, CO 81003-1411 | 2014-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1649339516 | Colorado Mental Health Institute Pueblo | Pharmacy | 1600 W 24th St, Pueblo, CO 81003-1411 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659607422 | Chc Pharmacy Services | Pharmacy | 7388 S Revere Pkwy Ste 601, Centennial, CO 80112-3942 | 2009-10-28 |
| 1962695601 | Craig Hospital Pharmacy | Pharmacy | 3426 S Clarkson St, Englewood, CO 80113-2812 | 2007-08-27 |
| 1750321402 | Professional Pharmacy Services | Pharmacy | 4775 Larimer Parkway, Johnstown, CO 80534-9021 | 2006-06-08 |
| 1083611644 | Catholic Health Initiatives Colorado | Pharmacy | 1010 Three Springs Blvd., Durango, CO 81301 | 2005-06-28 |
| 1881930022 | Institutional Pharmacy Solutions | Pharmacy | 7353 Sisters Grv, Colorado Springs, CO 80923-2615 | 2012-12-17 |
| 1285768010 | Grand Junction Regional Center | Pharmacy | 2800 D Rd, Grand Junction, CO 81501-4721 | 2007-03-15 |
| 1720145121 | Brighton Community Hospital Association | Pharmacy | 1600 Prairie Center Pkwy, Brighton, CO 80601-4006 | 2007-01-03 |
| 1689733479 | Colorado Mental Health Institute Fort Logan | Pharmacy | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-07 |
Please comment or provide details below to improve the information on STATE OF COLORADO.
| 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.