Erin Bastman, PHARMD
Individual provider Active NPI Pharmacist · Dillon, CO
NPI 1154699221 · NPPES record last updated Dec 5, 2011
Key facts
- NPI
- 1154699221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17737 (CO)
- Practice address
- 269 Dillon Ridge Rd
Dillon, CO 80435-1604 - Phone
- (970) 468-0287
- Fax
- (970) 468-7879
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17737 | CO | MD | Pharmacist |
| 15459 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17737 | CO | Yes |
| Pharmacist | 183500000X | 15459 | WI |
Addresses
Primary practice location
269 Dillon Ridge Rd
Dillon, CO 80435-1604
Mailing address
PO Box 2248
Breckenridge, CO 80424-2248
Phone (303) 928-9141
Other providers in Dillon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.