Estes Park Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

39-2 Issued in CO

Legal business name

ESTES PARK PHARMACY INC

Practice address

600 S Saint Vrain Ave
Unit 1
Estes Park, CO 80517-7488

Phone

(970) 586-3366

Fax

(970) 586-0225

NPI assigned

Oct 12, 2005

Last updated

Sep 20, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Randall Joens, RPH

Title

President

Phone

(970) 586-3366

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1023006038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "address_2": "UNIT 1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177488",
            "telephone_number": "970-586-3366",
            "fax_number": "970-586-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "address_2": "UNIT 1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177488",
            "telephone_number": "970-586-3366",
            "fax_number": "970-586-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "JOENS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-586-3366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "39-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03392008",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0612007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.