Active NPI
Barry Placek, BS IN PHARMACY
- Pharmacist
- Pueblo, CO
National Provider Identifier
1265831291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010379
- Practice address
- 1304 Chinook LN
Pueblo, CO 81001 - Phone
- (719) 296-6937
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0020548 | CO | |
| Pharmacist | 183500000X | 10862 | NE | |
| Pharmacist | 183500000X | 044260 | MO | |
| Pharmacist | 183500000X | RPH-0010379 | OR | Primary |
Addresses
Primary practice location
1304 Chinook LN
Pueblo, CO 81001
Mailing address
3155 Orion Dr.
Colorado Springs, Co, CO 80906-0919
Phone (402) 639-9589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0020548 | CO | MD | Pharmacist |
| 044260 | MO | MD | Pharmacist |
| 10862 | NE | MD | Pharmacist |
| RPH-0010379 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1265831291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 ORION DR.",
"city": "COLORADO SPRINGS, CO",
"state": "CO",
"postal_code": "809060919",
"telephone_number": "402-639-9589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 CHINOOK LN",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81001",
"telephone_number": "719-296-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACEK",
"first_name": "BARRY",
"name_prefix": "Mr.",
"credential": "BS IN PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0020548",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10862",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044260",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.