Saint Vrain Pharmacies Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

1520000001 Issued in CO

Legal business name

SAINT VRAIN PHARMACIES INC

Practice address

440 Main Street
Box 949
Lyons, CO 80540

Phone

(303) 823-9134

Fax

(303) 823-9140

NPI assigned

Sep 27, 2006

Organization subpart

No

Name

Mrs. Dolores A. Lovin, M.S.,RPH.

Title

President

Phone

(303) 823-9134

• St. Vrain Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255422812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAIN STREET",
            "address_2": "BOX 949",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "80540",
            "telephone_number": "303-823-9134",
            "fax_number": "303-823-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAIN STREET",
            "address_2": "BOX 949",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "80540",
            "telephone_number": "303-823-9134",
            "fax_number": "303-823-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VRAIN PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVIN",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-823-9134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "1520000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT AGENCY",
            "identifier": "630",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45477868",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vrain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lyons, CO
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.