NPIMap

Organization Active NPI

Poudre Valley Health Care, Inc

  • Home Infusion Therapy Pharmacy
  • Fort Collins, CO
National Provider Identifier
1295146512
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PDO.0000000842 Issued in CO
Legal business name
POUDRE VALLEY HEALTH CARE, INC
Practice address
2121 E Harmony Rd Unit 150
Fort Collins, CO 80528-3413
Phone
(970) 493-6337
Fax
(970) 297-6038
NPI assigned
May 9, 2014
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
POUDRE VALLEY HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
David Thompson
Title
Cfo
Phone
(970) 495-7000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X PDO.0000000842 CO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2121 E Harmony Rd Unit 150
Fort Collins, CO 80528-3413

Mailing address

7901 E Lowry Blvd
Mail Stop F402
Denver, CO 80230-6507

Other names 1

  • PVH Cancer Center Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Fort Collins Family Med21 organizations share this tax ID, including this one
Part of
Fort Collins Family Med

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1295146512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E LOWRY BLVD",
            "address_2": "MAIL STOP F402",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 150",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283413",
            "telephone_number": "970-493-6337",
            "fax_number": "970-297-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUDRE VALLEY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POUDRE VALLEY HEALTH CARE, INC",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-495-7000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CO",
            "license": "PDO.0000000842",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PVH Cancer Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.