Organization Active NPI

Vista Care Pharmacy LLC

Doing business as Vista Care Pharmacy

  • Long Term Care Pharmacy
  • Monte Vista, CO
National Provider Identifier
1053780866
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PDO.1680000095 Issued in CO
Legal business name
VISTA CARE PHARMACY LLC
Doing business as
Vista Care Pharmacy
Practice address
133 Adams St
Monte Vista, CO 81144-1444
Phone
(719) 628-2661
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Bryan Salazar
Title
Pharmacist Manager
Phone
(719) 628-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PDO.1680000095 CO Primary

Addresses

Primary practice location

133 Adams St
Monte Vista, CO 81144-1444

Mailing address

133 Adams St
Monte Vista, CO 81144-1444
Phone (719) 628-2661

Other names 1

  • Vista Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1053780866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ADAMS ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441444",
            "telephone_number": "719-628-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ADAMS ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441444",
            "telephone_number": "719-628-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "719-628-2661"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CO",
            "license": "PDO.1680000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monte Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.