Active NPI
Lallier Pharmacy
- Community/Retail Pharmacy
- Salida, CO
National Provider Identifier
1255468831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1090000001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03500253 | Medicaid | CO | |
| 0605848 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0605848 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.