Organization Active NPI

Healthy Drugstore, Inc

Doing business as Three Springs Pharmacy

  • Community/Retail Pharmacy
  • Durango, CO
National Provider Identifier
1417140161
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
700 Issued in CO
Legal business name
HEALTHY DRUGSTORE, INC
Doing business as
Three Springs Pharmacy
Practice address
1 Mercado St
Unit 204
Durango, CO 81301-7310
Phone
(626) 355-6474
Fax
(626) 355-6448
NPI assigned
Aug 24, 2007
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Debbie Nocita
Title
President
Phone
(626) 355-6474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 700 CO
Community/Retail Pharmacy 3336C0003X 700 CO Primary

Addresses

Primary practice location

1 Mercado St
Unit 204
Durango, CO 81301-7310

Mailing address

PO Box 4029
Durango, CO 81302-4029
Phone (626) 355-6474

Other identifiers 1

IdentifierTypeStateIssuer
42839556MedicaidCO

Other names 1

  • Three Springs Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1 Mercado St
Unit 204
Durango, CO 81301
Phone (626) 355-6474

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1417140161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4029",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813024029",
            "telephone_number": "626-355-6474",
            "fax_number": "626-355-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "UNIT 204",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017310",
            "telephone_number": "626-355-6474",
            "fax_number": "626-355-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DRUGSTORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "NOCITA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-355-6474"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "700",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42839556",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.