NPIMap

Organization Active NPI

Colorado West Healthcare System

Doing business as Canyon View Pharmacy

  • Community/Retail Pharmacy
  • Grand Junction, CO
National Provider Identifier
1326465931
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1680000055 Issued in CO
Legal business name
COLORADO WEST HEALTHCARE SYSTEM
Doing business as
Canyon View Pharmacy
Practice address
2373 G Rd
Suite 120
Grand Junction, CO 81505-9641
Phone
(970) 644-4380
Fax
(970) 644-4394
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mark Thomas Vejraska, PHARM.D., M.S.
Title
Director of Retail Pharmacies
Phone
(970) 243-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1680000055 CO Primary

Addresses

Primary practice location

2373 G Rd
Suite 120
Grand Junction, CO 81505-9641

Mailing address

2373 G Rd
Suite 120
Grand Junction, CO 81505-9641
Phone (970) 644-4380

Other identifiers 1

IdentifierTypeStateIssuer
0623303OtherNCPDP

Other names 1

  • Canyon View Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Valley Urgent Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2373 G Rd
Ste 120
Grand Junction, CO 81505
Phone (970) 644-4380

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1326465931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 120",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-644-4380",
            "fax_number": "970-644-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "address_2": "SUITE 120",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-644-4380",
            "fax_number": "970-644-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO WEST HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "VEJRASKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF RETAIL PHARMACIES",
        "authorized_official_telephone_number": "970-243-3400",
        "authorized_official_credential": "PHARM.D., M.S."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1680000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0623303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon View Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.