PDC PHARMACY COLORADO INC (NPI# 1831418581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831418581 |
| Entity Type | Organization |
| Organization Name | PDC PHARMACY COLORADO INC |
| Other Organization Name | PDC PHARMACY COLORADO, INC |
| Practice Address |
4665 Nautilus Ct S Ste 101 Boulder CO 80301-3263 |
| Mailing Address |
4665 Nautilus Ct S Suite 101 Boulder CO 80301-3262 |
| Practice Telephone | 3035301188 |
| Practice Fax Number | 3035301151 |
| Mailing Telephone | 3035301188 |
| Mailing Fax Number | 3035301151 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | CHRISTINA FUNKHOUSER (VP OF OPERATIONS) |
| Authorized Official Telephone | 4128201010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PDO-0000000799 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125117 | 01 | |
| CO | 31522548 | 05 |
| Other Name | Type Code |
|---|---|
| PDC Pharmacy Colorado, Inc | Doing Business As Name - Organization |
| Street Address |
4665 NAUTILUS CT S STE 101 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-3263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664051 | Cheryl Olosn | Pharmacist | 4665 Nautilus Ct S Ste 101, Boulder, CO 80301-3263 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1326483108 | Trhc Opco, Inc. | Pharmacy | 5303 Spine Rd Ste 100, Boulder, CO 80301-3300 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659918894 | Beatties Community Pharmacy LLC | Pharmacy | 3140 Village Vista Dr Unit 100, Erie, CO 80516-2529 | 2019-12-06 |
| 1710477385 | Cd Colorado Pharmacy LLC | Pharmacy | 1240 S Parker Rd Ste 200, Denver, CO 80231-2177 | 2018-05-18 |
| 1275053761 | Mountain Key Rx | Pharmacy | 18172 Teller County Road 1, Florissant, CO 80816 | 2017-06-26 |
| 1053780866 | Vista Care Pharmacy LLC | Pharmacy | 133 Adams St, Monte Vista, CO 81144-1444 | 2015-09-22 |
| 1235516402 | Op Pharmacy LLC | Pharmacy | 6021 S Syracuse Way Ste 117, Greenwood Village, CO 80111-4747 | 2015-04-27 |
| 1548536899 | Pioneer Pharmacy LLC | Pharmacy | 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597 | 2012-03-30 |
| 1447374046 | Kohler Professional Pharmacy LLC | Pharmacy | 1007 Elkton Drive, Colorado Springs, CO 80907-7556 | 2007-03-19 |
| 1467580720 | High Plains Medical LLC | Pharmacy | 314 14th St, Burlington, CO 80807-1608 | 2007-03-01 |
| 1265597447 | Rx Plus Limited Palisade LLC | Pharmacy | 707 Elberta Ave Unit B, Palisade, CO 81526-8806 | 2006-12-27 |
| 1871667246 | Omnicare of New York, LLC | Pharmacy | 504 28 1/4 Rd, Grand Junction, CO 81501-4993 | 2006-11-20 |
| 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.