Kremmling Mercantile LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

623 Issued in CO

Legal business name

KREMMLING MERCANTILE LLC

Doing business as

Kremmling Mercantile

Practice address

101 Martin Way
Kremmling, CO 80459

Phone

(970) 724-3205

Fax

(970) 724-3225

NPI assigned

Dec 27, 2006

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Hammer, RPH

Title

Controller

Phone

(970) 724-3400

Specialties & licenses 2

Addresses

Other names 1

• KREMMLING MERCANTILE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Soderberg, RPH

  • Pharmacist
  • Kremmling, CO
  • NPI 1487903811
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1376608562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "804591600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARTIN WAY",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "80459",
            "telephone_number": "970-724-3205",
            "fax_number": "970-724-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREMMLING MERCANTILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "970-724-3400",
        "authorized_official_credential": "RPH"
    },
    "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": "623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KREMMLING MERCANTILE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kremmling Memorial Hospital District (Middle Park Medical Center - Kremmling Clinic)
• Kremmling Memorial Hospital District (Middle Park Medical Center)
• Kremmling Memorial Hospital District (dba Middle Park Medical Center)
• Kremmling Memorial Hospital District (Middle Park Medical Center)
• Kremmling Memorial Hospital District (Middle Park Medical Center, Kremmling)
• Michelle Victoria Licha, CMT
• Kellie Logue, CRNA
• Michelle Lee Lupica, D.O.
• Stephanie Collins Miller, LCSW
• Meghan Rochelle Mont, D.O.

• Community/Retail Pharmacy in Kremmling, CO
• Providers in Kremmling, 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 Jan 18, 2017; 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.