Organization Active NPI

Lallier Pharmacy

  • Community/Retail Pharmacy
  • Salida, CO
National Provider Identifier
1255468831
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1090000001 Issued in CO
Legal business name
LALLIER PHARMACY
Practice address
147 F St 399
Salida, CO 81201-2101
Phone
(719) 539-2591
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Wayne Lallier
Title
Pharmacist
Phone
(719) 539-2591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1090000001 CO Primary

Addresses

Primary practice location

147 F St 399
Salida, CO 81201-2101

Mailing address

147 F St 399
Salida, CO 81201-2101

Other identifiers 3

IdentifierTypeStateIssuer
03500253MedicaidCO
0605848OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0605848OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

147 F St
#399
Salida, CO 81201
Phone (719) 539-2591

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1255468831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 F ST 399",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 F ST 399",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012101",
            "telephone_number": "719-539-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALLIER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LALLIER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "719-539-2591"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1090000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03500253",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0605848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0605848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.