GARY INGRAHAM (NPI# 1538451646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538451646 |
| Entity Type | Individual |
| Full Name | GARY INGRAHAM |
| Practice Address |
4800 Baseline Rd Boulder CO 80303-2699 |
| Practice Telephone | 3034991919 |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2011-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10356 | CO | Pharmacy Service Providers |
| Street Address |
4800 BASELINE RD |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720024342 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4800 Baseline Rd, Boulder, CO 80303-2699 | 2006-06-21 |
| 1528505732 | Anne Swanberg | Audiologist | 4800 Baseline Rd, Suite E-108, Boulder, CO 80303-2699 | 2017-01-25 |
| 1013367184 | National Vision, Inc. | Technician/Technologist | 4800 Baseline Rd, Units D107 & D108, Boulder, CO 80303-2699 | 2016-06-20 |
| 1053665190 | Andrew Mach | Pharmacist | 4800 Baseline Rd, Boulder, CO 80303-2699 | 2012-10-27 |
| 1376813055 | Peter Ricupero | Pharmacist | 4800 Baseline Rd, Boulder, CO 80303-2699 | 2012-01-11 |
| 1821249608 | Katheryn Lumsden | Pharmacist | 4800 Baseline Rd, Boulder, CO 80303-2699 | 2008-10-10 |
| 1790935708 | Heather A Meinke LLC | Chiropractor | 4800 Baseline Rd, Suite C-110, Boulder, CO 80303-2699 | 2008-09-25 |
| 1306067830 | Pro Physical Therapy, PC | Clinic/Center | 4800 Baseline Rd, Suite D 107, Boulder, CO 80303-2699 | 2007-05-01 |
| 1972621100 | Matthew Thomas Hawkins Jr. | Internal Medicine | 4800 Baseline Rd, E104-444, Boulder, CO 80303-2699 | 2007-03-26 |
| 1285751230 | Barbara Ann Tschoepe | Physical Therapist | 4800 Baseline Rd, D 107, Boulder, CO 80303-2699 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518596899 | Susan Vastano | Pharmacist | 4540 Comanche Dr, Boulder, CO 80303-3623 | 2020-04-07 |
| 1447778667 | Philostratos Klidaras | Pharmacist | 4665 Nautilus Ct S, Boulder, CO 80301-3262 | 2017-09-07 |
| 1528595220 | Deanne Mitchell | Pharmacist | The Apothecary Cu Boulder, Campus Box 119, Boulder, CO 80309-0001 | 2017-05-12 |
| 1811348220 | Dana Eric Hessel | Pharmacist | 1860 Del Rosa Ct, Boulder, CO 80304-1801 | 2016-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1073820445 | Gregory Davis | Pharmacist | 5611 Outback Ct, Boulder, CO 80301-3557 | 2010-09-08 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1215197223 | Jordan David Bendinelli | Pharmacist | 3348 28th St, Boulder, CO 80301-1411 | 2008-06-12 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1558401786 | Melissa Dutchak | Pharmacist | 119 Campus Box, University of Colorado Boulder, Boulder, CO 80309-0001 | 2007-02-07 |
| Find all providers in BOULDER | ||||
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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.