Pca Ventures of Colorado LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

609 Issued in CO

Legal business name

PCA VENTURES OF COLORADO LLC

Doing business as

Hays Market Pharmacy

Practice address

201 Johnstown Center Dr
Johnstown, CO 80534-9073

Phone

(970) 587-1128

Fax

(970) 587-1139

NPI assigned

Oct 31, 2006

Last updated

Apr 25, 2008By 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

Steve Ramsey, RPH

Title

Phcy MGR

Phone

(970) 587-1128

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HAYS MARKET PHARMACY Doing business as

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1053498923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805340088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JOHNSTOWN CENTER DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349073",
            "telephone_number": "970-587-1128",
            "fax_number": "970-587-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA VENTURES OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "970-587-1128",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45785562",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0619481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYS MARKET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Nowak, PA-C
• Melinda O'Brien, RPH
• Kristen Olenic, PA-C
• Kristi Lynn Paetzel, PA-C
• Cherie Patterson
• Nicole Monet Peterson, PHARMD
• Kenneth A Pettine, M.D.
• Jaime Lee Pingatore, PA-C
• Krista Lee Plate, FNP
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)

• Community/Retail Pharmacy in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.