Active NPI
Choice City Drug, Inc
Doing business as city drug
- Durable Medical Equipment & Medical Supplies
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 440000004
- Legal business name
- CHOICE CITY DRUG, INC
- Doing business as
- city drug
- Practice address
- 209 S College Ave
Fort Collins, CO 80524-2808 - Phone
- (970) 482-1234
- Fax
- (970) 482-1098
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernhard C Wilkins, BSCHEM,BSPHARM,BOC,
- Title
- Ceo
- Phone
- (970) 482-1234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 440000004 | CO | Primary |
| Customized Equipment (DME) | 332BC3200X | 440000004 | CO | |
| Nursing Facility Supplies (DME) | 332BN1400X | 440000004 | CO | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 440000004 | CO | |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
209 S College Ave
Fort Collins, CO 80524-2808
Mailing address
209 N College Ave
Fort Collins, CO 80524-2808
Phone (970) 482-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611776 | Other | CO | NABP |
| 03001328 | Medicaid | CO |
Other names 1
- city drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063500 | CO | DME Supplier - Pharmacy | 4981621299 | Practice locations: Fort Collins, CO |
| O20121228000287 | CO | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981621299 | Practice locations: Fort Collins, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| City Drug | Epoetin|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Traction Equipment|Canes and/or Crut… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
101 S College Ave
Fort Collins, CO 80524
Phone (970) 482-1234
209 N College Ave
Fort Collins, CO 80524
Phone (970) 412-6506
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fort Collins, CO
- NPI 1942206685
-
- Pharmacist
- Fort Collins, CO
- NPI 1922004506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1093727083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242808",
"telephone_number": "970-482-1234",
"fax_number": "970-482-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242808",
"telephone_number": "970-482-1234",
"fax_number": "970-482-1098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE CITY DRUG, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "BERNHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-482-1234",
"authorized_official_credential": "BSCHEM,BSPHARM,BOC,"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "440000004",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CO",
"license": "440000004",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "CO",
"license": "440000004",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CO",
"license": "440000004",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0611776",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03001328",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "city drug",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "city drug",
"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 Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.