Organization Active NPI

Downtown Drug Inc

Doing business as Downtown Drug

  • Community/Retail Pharmacy
  • Glenwood Springs, CO
National Provider Identifier
1346312121
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PDO0500000010 Issued in CO
Legal business name
DOWNTOWN DRUG INC
Doing business as
Downtown Drug
Practice address
825 Grand Ave
Glenwood Springs, CO 81601-3403
Phone
(970) 945-7987
Fax
(970) 947-9922
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Dr. Jason David Gotzinger, PHARMDNPI 1447507108
Title
Pharmacy Manager/Owner
Phone
(970) 945-7987

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PDO0500000010 CO Primary

Addresses

Primary practice location

825 Grand Ave
Glenwood Springs, CO 81601-3403

Mailing address

PO Box 879
Glenwood Springs, CO 81602-0879
Phone (970) 945-7987

Other identifiers 2

IdentifierTypeStateIssuer
21700753MedicaidCO
2003234OtherPK

Other names 1

  • DOWNTOWN DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000232 CO Part B Supplier - Mass Immunization (Roster Biller Only) 9234527045 Practice locations: Glenwood Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Downtown Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1346312121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020879",
            "telephone_number": "970-945-7987",
            "fax_number": "970-947-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013403",
            "telephone_number": "970-945-7987",
            "fax_number": "970-947-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "GOTZINGER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "970-945-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO0500000010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21700753",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNTOWN DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOWNTOWN DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.