Organization Active NPI

High Plains Medical LLC

Doing business as WB Drug

  • Community/Retail Pharmacy
  • Burlington, CO
National Provider Identifier
1467580720
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
150000003 Issued in CO
Legal business name
HIGH PLAINS MEDICAL LLC
Doing business as
WB Drug
Practice address
314 14TH St
Burlington, CO 80807-1608
Phone
(719) 346-8851
Fax
(719) 346-7302
NPI assigned
Mar 1, 2007
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
CJ Shovlin
Title
Manager
Phone
(970) 353-3316

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 150000003 CO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

314 14TH St
Burlington, CO 80807-1608

Mailing address

PO Box 1809
Greeley, CO 80632-1809
Phone (970) 353-3316

Other names 1

  • WB Drug Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930048126 CO DME Supplier - Pharmacy 6103026927 Practice locations: Burlington, CO
O20231110001157 CO Part B Supplier - Pharmacy 6103026927 Practice locations: Burlington, CO

Other NPIs with the same Medicare PAC ID 1

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

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
06D2290602High Plains Medical LLC314 14TH Street, Burlington, CO 80807Certificate of waiverSep 26, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
WB Drug314 14TH St, Burlington, CO 80807-1608(719) 346-8851 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Orthoses: Off-The-Shelf|Ostomy … Does not accept assignmentParticipating since Oct 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
High Plains Medical LLC2 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.

Locations

314 14th St
Burlington, CO 80807
Phone (719) 346-8851

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1467580720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806321809",
            "telephone_number": "970-353-3316",
            "fax_number": "970-353-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 14TH ST",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071608",
            "telephone_number": "719-346-8851",
            "fax_number": "719-346-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "SHOVLIN",
        "authorized_official_first_name": "CJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-353-3316"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "150000003",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WB Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WB Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.