Sano Vita Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

592 Issued in CO

Legal business name

SANO VITA INC

Doing business as

Rivergate Pharmacy

Practice address

575 Rivergate
Ste 111
Durango, CO 81301-7487

Phone

(970) 375-7711

Fax

(970) 375-7722

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Lori Jean Kearney

Title

Owner/RPH/Pharmacist in Charge

Phone

(970) 375-7711

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Rivergate Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO3 enrollments

Enrollment records 3

Tax ID family

Rivergate Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sano Vita Inc

  dba Rivergate Pharmacy

  • Long Term Care Pharmacy
  • Durango, CO
  • NPI 1093569048
  NPD tax ID
• Sano Vita Inc

  dba Sano Vita Clinical Services

  • Family Medicine Physician
  • Durango, CO
  • NPI 1114541190
  NPD tax ID

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1194049494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-375-7711",
            "fax_number": "970-375-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "address_2": "STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-375-7711",
            "fax_number": "970-375-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANO VITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/RPH/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "970-375-7711"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "592",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78452881",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivergate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rivergate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Juan Smiles Family Dentistry
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• Sano Vita Inc (Rivergate Pharmacy)
• Sano Vita Inc (Sano Vita Clinical Services)
• Maria Santiago, LPCC
• James A Santos, M.D.
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• Stuart B Saslow, M.D.
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• Community/Retail Pharmacy in Durango, CO
• Providers in Durango, 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 Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.