Primo Enterprises Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

1120000001 Issued in CO

Legal business name

PRIMO ENTERPRISES INC

Practice address

568 US Highway 36
Byers, CO 80103-9700

Phone

(303) 822-9371

Fax

(303) 822-9746

NPI assigned

Aug 27, 2007

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilson Chase, R. PH.

Title

Pharmacist

Phone

(303) 822-9371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chase Pharmacy Flu Shot Program Other name

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1144413865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 US HIGHWAY 36",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "801039700",
            "telephone_number": "303-822-9371",
            "fax_number": "303-822-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 US HIGHWAY 36",
            "city": "BYERS",
            "state": "CO",
            "postal_code": "801039700",
            "telephone_number": "303-822-9371",
            "fax_number": "303-822-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "303-822-9371",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "1120000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03165008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase Pharmacy Flu Shot Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holly Hollembeak, NURSE PRACTITIONER
• Ashley Lewis
• Lincoln Community Hospital (Lincoln Health Byers Clinic)
• Lincoln Community Hospital (Lincoln Health Byers Clinic)
• Meghan Patrick-Cobb, LPC
• Nimita Vaughn, R.P.H.
• Lauren Warren
• Michael Zehnder

• Pharmacy in Byers, CO
• Providers in Byers, CO by specialty
• Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.