NPIMap

Organization Active NPI

Pharmaca Integrative Pharmacy

  • Exclusive Provider Organization
  • Boulder, CO
National Provider Identifier
1235292145
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
PDO670 Issued in CO
Legal business name
PHARMACA INTEGRATIVE PHARMACY
Practice address
645 South Boulder
Boulder, CO 80305
Phone
(303) 867-3400
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Greg Legore
Title
Director of Pharmacy Operations
Phone
(805) 217-5986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X PDO670 CO Primary

Addresses

Primary practice location

645 South Boulder
Boulder, CO 80305

Mailing address

4940 Pearl East Circle
Suite 301
Boulder, CO 80302-5433
Phone (303) 867-3182

National Provider Directory

National Provider Directory
Tax ID family
Pharmaca Integrative Pharmacy9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1235292145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 PEARL EAST CIRCLE",
            "address_2": "SUITE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025433",
            "telephone_number": "303-867-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SOUTH BOULDER",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-867-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACA INTEGRATIVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "LEGORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "805-217-5986"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "PDO670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.