Organization Active NPI

Rangely Distrct Hospital

Doing business as Rangely Pharmacy

  • Community/Retail Pharmacy
  • Rangely, CO
National Provider Identifier
1124359765
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
793 Issued in CO
Legal business name
RANGELY DISTRCT HOSPITAL
Doing business as
Rangely Pharmacy
Practice address
225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone
(970) 675-2169
Fax
(970) 675-2160
NPI assigned
Jan 21, 2010
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Kyle Wren
Title
Ceo
Phone
(970) 675-5011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 793 CO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

225 Eagle Crest Dr
Rangely, CO 81648-3105

Mailing address

225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-5011

Other names 1

  • Rangely Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gary B Morsch MD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1124359765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST DR",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-5011",
            "fax_number": "970-675-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAGLE CREST DR",
            "city": "RANGELY",
            "state": "CO",
            "postal_code": "816483105",
            "telephone_number": "970-675-2169",
            "fax_number": "970-675-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANGELY DISTRCT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-675-5011"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "793",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rangely Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rangely Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rangely, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.