NPIMap

Organization Active NPI

Apotheca LLC

Doing business as Apotheca Integrative Pharmacy

  • Community/Retail Pharmacy
  • Telluride, CO
National Provider Identifier
1063729101
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PDO0000000805 Issued in CO
Legal business name
APOTHECA LLC
Doing business as
Apotheca Integrative Pharmacy
Practice address
129 W. Colorado Avenue
Telluride, CO 81435
Phone
(970) 728-0488
Fax
(970) 728-0487
NPI assigned
Sep 10, 2010
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Michelle CommonNPI 1457916074
Title
Managing MMBR/Owner/Pharm MGR
Phone
(970) 708-9982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PDO0000000805 CO Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

129 W. Colorado Avenue
Telluride, CO 81435

Mailing address

PO Box 3270
Telluride, CO 81435-3270
Phone (970) 728-0488

Other identifiers 2

IdentifierTypeStateIssuer
2126604OtherPK
16259220MedicaidCO

Other names 1

  • Apotheca Integrative Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apotheca at Ridgway2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

129 W Colorado Ave
Telluride, CO 81435
Phone (970) 728-0488

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": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1063729101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3270",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814353270",
            "telephone_number": "970-728-0488",
            "fax_number": "970-728-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W. COLORADO AVENUE",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-0488",
            "fax_number": "970-728-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "COMMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGING MMBR/OWNER/PHARM MGR",
        "authorized_official_telephone_number": "970-708-9982"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO0000000805",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16259220",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apotheca Integrative Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Telluride, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.