Beatties Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PDO761 Issued in CO

Legal business name

BEATTIES COMMUNITY PHARMACY LLC

Doing business as

Beattie's HealthMart Pharmacy

Practice address

3140 Village Vista Dr
Ste 100
Erie, CO 80516-2527

Phone

(720) 890-5095

Fax

(720) 890-4343

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lyal S Beattie III, RPH

Title

Pharmacy Manager

Phone

(720) 890-5095

Specialties & licenses 2

Addresses

Other names 1

• Beattie's HealthMart Pharmacy Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1144460718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 VILLAGE VISTA DR",
            "address_2": "STE 100",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162527",
            "telephone_number": "720-890-5095",
            "fax_number": "720-890-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 VILLAGE VISTA DR",
            "address_2": "STE 100",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162527",
            "telephone_number": "720-890-5095",
            "fax_number": "720-890-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATTIES COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "LYAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "720-890-5095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO761",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "PDO 761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ERIE",
            "affiliation": "N",
            "endpointDescription": "rx30",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3140 Village Vista Dr",
            "address_2": "ste 100",
            "city": "Erie",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805162527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beattie's HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Morgan Baer, BA
• Francisco Javier Barajas de la Rocha, M.D.
• Anna Battista
• Amanda Joyce Bauer, OTR/L
• William J Bauer, M.D.
• Beatties Community Pharmacy LLC
• Kelli L Beckvermit-Prine, NNP
• Erin Beebe, PT, DPT
• Emma May Beers
• Ryan Bendinelli, PHARMD

• Community/Retail Pharmacy in Erie, CO
• Providers in Erie, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.