Cobigred Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

557 Issued in CO

Legal business name

COBIGRED INC

Practice address

824 E Main St
Trinidad, CO 81082-2782

Phone

(719) 845-0069

Fax

(719) 846-8439

NPI assigned

Jun 11, 2012

Organization subpart

No

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

Authorized official

Name

Patrick ScheelsNPI 1497006027

Title

Secretary/Owner

Phone

(303) 898-7183

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Hometown Pharmacy and Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Scheels, RPH

  • Pharmacist
  • Trinidad, CO
  • NPI 1497006027
  NPD (past) Authorized official
• Jayme Hagan, PHARMD

  • Pharmacist
  • Walsenburg, CO
  • NPI 1043563521
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1053673699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822782",
            "telephone_number": "719-845-0069",
            "fax_number": "719-846-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E MAIN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822782",
            "telephone_number": "719-845-0069",
            "fax_number": "719-846-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBIGRED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SCHEELS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "303-898-7183"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "557",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0622755",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137541",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59624574",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053673699",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy and Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce Chavez, MT
• Charla A Chenoweth-Swift, LCSW
• Gerald Anthony Cichocki, M.D.
• Clark Family Chiropractic Inc
• Eric M Clark, D.C.
• Collective Healing Institute
• Colorado Occupational and Lymphedema Therapy LLC
• Comprehensive Dentistry PC
• James Andrew Conrad, M.D.
• Consultants for Children, Inc

• Pharmacy in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.