Organization Active NPI

Mountain Key RX

  • Pharmacy
  • Florissant, CO
National Provider Identifier
1275053761
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MOUNTAIN KEY RX
Practice address
18172 Teller County Road 1
Florissant, CO 80816
Phone
(303) 810-6408
NPI assigned
Jun 26, 2017
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Brent J. SteinNPI 1093299570
Title
Owner
Phone
(303) 810-6408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

18172 Teller County Road 1
Florissant, CO 80816

Mailing address

18172 Teller County Road 1
Florissant, CO 80816
Phone (719) 309-9525

Other identifiers 1

IdentifierTypeStateIssuer
168-172OtherCOPDO#

Other names 1

  • Mountain Key Rx Other name

National Provider Directory

National Provider Directory

Locations

18172 County Road 1
Florissant, CO 80816
Phone (303) 810-6408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1275053761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18172 TELLER COUNTY ROAD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "80816",
            "telephone_number": "719-309-9525",
            "fax_number": "719-452-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18172 TELLER COUNTY ROAD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "80816",
            "telephone_number": "303-810-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN KEY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-810-6408"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PDO#",
            "identifier": "168-172",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Key Rx",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mountain Key Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florissant, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.