NPIMap

Organization Active NPI

Professional Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Fort Collins, CO
National Provider Identifier
1083634604
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROFESSIONAL PHARMACY SERVICES, INC.
Practice address
2121 E Harmony Rd Unit 135
Fort Collins, CO 80528-3401
Phone
(970) 204-9111
Fax
(970) 223-3375
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Vicki Einhellig
Title
President
Phone
(970) 461-1975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 135
Fort Collins, CO 80528-3401

Mailing address

2121 E Harmony Rd Unit 135
Fort Collins, CO 80528-3401
Phone (970) 204-9111

Other identifiers 1

IdentifierTypeStateIssuer
92172334MedicaidCO

Other names 1

  • Good Day Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000674 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5597659946 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eaton, CO; Fort Collins, CO; Greeley, CO; Johnstown, CO; Longmont, CO; Loveland, CO; Wellington, CO; Yuma, CO

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2121 E Harmony Rd
Unit 135
Fort Collins, CO 80528
Phone (970) 204-9111

653 Denver Ave
Loveland, CO 80537
Phone (970) 461-1975

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1083634604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 135",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "970-204-9111",
            "fax_number": "970-223-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 135",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "970-204-9111",
            "fax_number": "970-223-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-461-1975"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92172334",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Day Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

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