Active NPI
Ronald Gregory Legge, PHARMACIST
- Ambulatory Care Pharmacist
- Estes Park, CO
National Provider Identifier
1104424274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 10776
- Practice address
- 455 E Wonder View Ave
Estes Park, CO 80517-8927 - Phone
- (303) 530-4113
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 10776 | CO | Primary |
Addresses
Primary practice location
455 E Wonder View Ave
Estes Park, CO 80517-8927
Mailing address
9853 Running Brook LN
Loveland, CO 80538-9625
Phone (303) 530-4113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03001708 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10776 | CO | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1104424274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9853 RUNNING BROOK LN",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389625",
"telephone_number": "303-530-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E WONDER VIEW AVE",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805178927",
"telephone_number": "303-530-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGE",
"first_name": "RONALD",
"middle_name": "GREGORY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CO",
"license": "10776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03001708",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Estes Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.