DR. CARA ALEXANDRA FOSSUM (NPI# 1598325573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598325573 |
| Entity Type | Individual |
| Full Name | DR. CARA ALEXANDRA FOSSUM |
| Credential | PHARM. D. |
| Practice Address |
201 Johnstown Center Dr Johnstown CO 80534-9005 |
| Mailing Address |
4701 Strauss Cabin Rd. 12-212 Fort Collins CO 80528 |
| Practice Telephone | 9705871128 |
| Mailing Telephone | 7032976903 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0022861 | CO | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0022861 | CO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4701 Strauss Cabin Rd., 12-212, Fort Collins, CO 805822014 | 7032976903 |
| Street Address |
201 JOHNSTOWN CENTER DR |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-9005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053498923 | Pca Ventures of Colorado LLC | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2006-10-31 |
| 1578738597 | Professional Pharmacy Services | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1427544139 | Douglas Norman Fish | Pharmacist | 6552 Starlight Dr, Morrison, CO 80465-2711 | 2018-07-05 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1417488776 | Cynthia Love Pursell | Pharmacist | 910 Rush Drive, Salida, CO 81201 | 2017-03-27 |
| 1790237238 | Melissa Linda Hubbard | Pharmacist | 12484 Black Hills Dr, Peyton, CO 80831-4420 | 2016-11-01 |
| 1184015851 | Liban Warsame | Pharmacist | 2797 Wewatta Way Unit 2049, Denver, CO 80216-3644 | 2015-02-16 |
| 1962800128 | Michael Woodley | Pharmacist | 1110 Edenhurst Ct, Monument, CO 80132-8484 | 2014-12-19 |
| 1588062277 | Lesley Brooke Liebig | Pharmacist | 1625 E Stuart St Apt E47, Fort Collins, CO 80525-1339 | 2014-12-11 |
| 1609283837 | Lucas Smith | Pharmacist | 403 Us Highway 24 South, Buena Vista, CO 81211 | 2014-07-21 |
| 1457788366 | Marianna Yanashyan | Pharmacist | 2500 S Havana Ave, Aurora, CO 80014 | 2013-10-09 |
| Find all providers with the same taxonomy | ||||
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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.