Shavano Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHAVANO PHARMACY LLC

Practice address

415 US Highway 24 N
Buena Vista, CO 81211

Phone

(816) 804-6412

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Rebecca Anne Seaman, RPH

Title

Owner/Pharmacist

Phone

(719) 398-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shavano Pharmacy LLC Former legal business name

Practitioners 1

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

• Rebecca Anne Lea, RPH

  • Pharmacist
  • Buena Vista, CO
  • NPI 1053755363

  Pharmacy

  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1487275129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 W US HIGHWAY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019340",
            "telephone_number": "719-398-6550",
            "fax_number": "719-398-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 24 N",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "81211",
            "telephone_number": "816-804-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVANO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "719-398-6550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053755363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shavano Pharmacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shavano Pharmacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Saxifrage Counseling, LLC
• Nicole M Schad, SLP
• Kenneth Michael Schell
• Scott David Schwandt, DDS
• Matthew L Scott, O.D.
• Danielle Shelton, LPC
• Alice Sherron, L.P.C.
• Erica Kay Smith, DO
• Lucas Smith, PHARMD
• Adrienne Snider, PT, DPT

• Pharmacy in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Pharmacy in Colorado

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