MVPS LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MVPS LLC

Practice address

222 Solar Ave
Monte Vista, CO 81144-1066

Phone

(719) 852-9894

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Hutera

Title

Managing Member

Phone

(651) 214-3762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1295483121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 87TH AVE",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167074",
            "telephone_number": "651-214-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOLAR AVE",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441066",
            "telephone_number": "719-852-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "HUTERA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "651-214-3762"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Vista Community Ambulance Service
• Monte Vista Estates, LLC
• Monte Vista Eye Care Center Inc.
• Monte Vista Family Practice
• Monte Vista Investors, LLC
• MVPS LLC
• Janice Janae Naranjo, LPC
• Michael John Noonan, PA-C
• Terry Glenn Pace Jr., LPCC
• Amelie Mae Pacheco

• Community/Retail Pharmacy in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.