Vail Clinic, Inc.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PDO.1470000002 Issued in CO

Legal business name

VAIL CLINIC, INC.

Doing business as

Edwards Medical Center Pharmacy
Vail Health Pharmacy

Practice address

322 Beard Creek Rd
Edwards, CO 81632-6426

Phone

(970) 569-7676

Fax

(970) 569-7677

NPI assigned

Jan 13, 2006

Last updated

Jan 8, 2025By 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

Michael G Brown

Title

SVP & Cfo

Phone

(970) 479-7272

Specialties & licenses 1

Addresses

Other names 2

• Edwards Medical Center Pharmacy Doing business as
• Vail Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vail Clinic Inc

  dba Vail Pharmacy

  • Community/Retail Pharmacy
  • Vail, CO
  • NPI 1679552475

  O20131207000064

  Same enrollment

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1225017643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2706",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322706",
            "telephone_number": "970-569-7676",
            "fax_number": "970-569-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "970-569-7676",
            "fax_number": "970-569-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "970-479-7272"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CO",
            "license": "PDO.1470000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vail Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vail Clinic Inc (Howard Head Sports Medicine at Edwards)
• Vail Clinic Inc (Shaw Cancer Center - Service of Vail Health Hospital)
• Vail Clinic, Inc (Vail Valley Home Health)
• Vail Clinic, Inc. (Howard Head Sports Medicine at Edwards)
• Vail Clinic, Inc. (Shaw at Home)
• Vail Clinic, Inc. (Precourt Healing Center)
• Vail Clinic, Inc. (Vail Valley Home Health and Mountain Hospice)
• Vail Infectious Disease, P.C.
• Vail Med Inc (Vail Integrative Medical Group)
• Vail Oral and Maxillofacial Radiology, LLC

• Clinic Pharmacy in Edwards, CO
• Providers in Edwards, CO by specialty
• Clinic Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.