BERTHOUD DRUG, LLC (NPI# 1619072972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619072972 |
| Entity Type | Organization |
| Organization Name | BERTHOUD DRUG, LLC |
| Other Organization Name | BERTHOUD DRUG |
| Practice Address |
330 Mountain Ave Berthoud CO 80513 |
| Mailing Address |
330 Mountain Ave Box V Berthoud CO 80513 |
| Practice Telephone | 9705322034 |
| Practice Fax Number | 9705324799 |
| Mailing Telephone | 9705322034 |
| Mailing Fax Number | 9705324799 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | DR. JOSHUA ELIJAH JONES (OWNER) |
| Authorized Official Telephone | 9705322034 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0080000001 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2000864 | 01 | |
| CO | 36601365 | 05 |
| Other Name | Type Code |
|---|---|
| BERTHOUD DRUG | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Berthoud Drug, LLC | 330 Mountain Ave, Berthoud, CO 80513 |
| Street Address |
330 MOUNTAIN AVE |
| City | BERTHOUD |
| State | CO |
| Zip Code | 80513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233163 | Terri Campbell | Technician | 949 North County Road 23e, Berthoud, CO 80513 | 2019-09-09 |
| 1962948604 | Carolyn Hobson | Lactation Consultant, Non-RN | 817 Green Wood Drive, Berthoud, CO 80513 | 2017-01-18 |
| 1588834121 | Executive Physical Therapy, Inc. | Clinic/Center | 247 Mountain Avenue, Berthoud, CO 80513 | 2008-03-11 |
| 1699978403 | Craig P. Farson | Dentist | 646 7 Th Street, Berthoud, CO 80513 | 2007-06-08 |
| 1104973387 | Kelly K. Murtagh | Physical Therapist | 516 Mountain Avenue, Berthoud, CO 80513 | 2007-01-03 |
| 1497815344 | Judi Lynn Ashley | Specialist | 548 Mountain Ave, Berthoud, CO 80513 | 2006-12-11 |
| 1699856054 | Elizabeth Rejeana Kolbe | Counselor | 548 Mountain Avenue, Berthoud, CO 80513 | 2006-10-18 |
| 1952322315 | Longmont United Hospital | Clinic/Center | 549 Mountain Avenue, Berthoud, CO 80513 | 2006-07-21 |
| 1851893788 | Kylea Ginger Rickard | Dental Hygienist | 430 Bimson Ave, Berthoud, CO 80513 | 2018-03-07 |
| 1962828384 | Berthoud Physical Therapy LLC | Physical Therapist | 516 Mountain Ave, Berthoud, CO 80513 | 2014-03-10 |
| Find all providers in zip 80513 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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] |
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| 1770114407 | Four Corners Pharmacy, LLC | Pharmacy | 575 Rivergate Ste 110, Durango, CO 81301-7487 | 2020-01-31 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1689217861 | 888 Pharmacy Inc | Pharmacy | 5092 W 92nd Ave Ste D-8, Westminster, CO 80031-6302 | 2019-10-21 |
| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| 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.