Active NPI
Dana Manriquez
- Pharmacist
- Monte Vista, CO
National Provider Identifier
1134599079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0021057
- Practice address
- 133 Adams St
Monte Vista, CO 81144-1444 - Phone
- (719) 628-2661
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Monte Vista, CO
- NPI 1053780866
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 |
|---|---|---|---|
| PHA.0021057 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Care Pharmacy LLC | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0021057 | CO | Primary |
Addresses
Primary practice location
133 Adams St
Monte Vista, CO 81144-1444
Mailing address
133 Adams St
Monte Vista, CO 81144-1444
NPI Registry JSON
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1134599079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 ADAMS ST",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ADAMS ST",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441444",
"telephone_number": "719-628-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUEZ",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0021057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monte Vista, CO
- Luis Alvarez LLC
- Lutheran Hospital Association of the San Luis Valley
- Lutheran Hospital Association of the San Luis Valley
- Lutheran Hospital Association of the San Luis Valley
- Daniel Lee Malouff Jr., PT
- Jose Antonio Manriquez, PHARM.D.
- Laura Lee Martin, FNP
- Stephanie Ann Maxfield, MSW, LCSW
- Shania McAlear
- Cathy McCurdy, PAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.