Organization Active NPI

Pharmacy Services Inc

Doing business as Harris Pharmacy

  • Community/Retail Pharmacy
  • Rocky Ford, CO
National Provider Identifier
1295866390
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1070000002 Issued in CO
Legal business name
PHARMACY SERVICES INC
Doing business as
Harris Pharmacy
Practice address
309 N Main St
Rocky Ford, CO 81067-1253
Phone
(719) 254-3337
Fax
(719) 254-7311
NPI assigned
Mar 8, 2007
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. Ky Davis, PHARMD
Title
Pharmacist
Phone
(719) 254-3337

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 1070000002 CO Primary

Addresses

Primary practice location

309 N Main St
Rocky Ford, CO 81067-1253

Mailing address

PO Box 546
Rocky Ford, CO 81067-0546
Phone (719) 254-3337

Other identifiers 2

IdentifierTypeStateIssuer
03445012MedicaidCO
2001192OtherPK

Other names 1

  • Harris Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930100259 CO DME Supplier - Pharmacy 9032237722 Practice locations: Rocky Ford, CO
O20140516001730 CO Part B Supplier - Mass Immunization (Roster Biller Only) 9032237722 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Animas, CO; Rocky Ford, CO; Ordway, CO; Eads, CO

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2267922Harris Pharmacy309 North Main St, Rocky Ford, CO 81067Certificate of waiverSep 1, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Harris Pharmacy309 N Main St, Rocky Ford, CO 81067-1253(719) 254-3337 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1295866390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810670546",
            "telephone_number": "719-254-3337",
            "fax_number": "719-254-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MAIN ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810671253",
            "telephone_number": "719-254-3337",
            "fax_number": "719-254-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "719-254-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1070000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03445012",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Ford, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.