Centre Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

440000002 Issued in CO

Legal business name

CENTRE PHARMACY INC

Doing business as

Centre Pharmacy Inc

Practice address

915 Centre Ave
Suite 4
Fort Collins, CO 80526-6045

Phone

(970) 221-0190

Fax

(970) 493-7680

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Eric Ellis, PHRM

Title

PHRM Mang

Phone

(970) 221-0190

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CENTRE PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Ann Almy, PHARM D.

  • Pharmacist
  • Fort Collins, CO
  • NPI 1215929807
  NPD (past)
• Tracy Conwell, PHARMD

  • Pharmacist
  • Timnath, CO
  • NPI 1356939524

  Long Term Care Pharmacy

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1205832789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CENTRE AVE",
            "address_2": "SUITE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266045",
            "telephone_number": "970-221-0190",
            "fax_number": "970-493-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CENTRE AVE",
            "address_2": "SUITE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266045",
            "telephone_number": "970-221-0190",
            "fax_number": "970-493-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "970-221-0190",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CO",
            "license": "440000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03002250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Long Term Care Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.