Organization Active NPI

Rocky Mountain Pharmacy of Estes Park Inc

  • Community/Retail Pharmacy
  • Estes Park, CO
National Provider Identifier
1508937517
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PDO.0390000005 Issued in CO
Legal business name
ROCKY MOUNTAIN PHARMACY OF ESTES PARK INC
Practice address
455 E Wonder View Ave # B1
Estes Park, CO 80517-9647
Phone
(970) 586-5577
Fax
(970) 586-0455
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Greg Barton, RPHNPI 1699114835
Title
Pres
Phone
(970) 586-1930

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PDO.0390000005 CO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

455 E Wonder View Ave # B1
Estes Park, CO 80517-9647

Mailing address

453 E Wonder View Ave # 1
Estes Park, CO 80517-9647
Phone (970) 586-5577

Other identifiers 2

IdentifierTypeStateIssuer
03001708MedicaidCO
2002153OtherPK

Other names 1

  • ROCKY MOUNTAIN PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053474 CO DME Supplier - Pharmacy 6002937703 Practice locations: Estes Park, CO
O20110511000450 CO Part B Supplier - Mass Immunization (Roster Biller Only) 6002937703 Practice locations: Estes Park, CO

National Provider Directory

National Provider Directory

Locations

455 E Wonderview Ave
#B1
Estes Park, CO 80517
Phone (970) 577-1027

455 E Wonderview Ave
Unit B1
Estes Park, CO 80517
Phone (970) 586-5577

453 E Wonderview Ave
Unit 1
Estes Park, CO 80517
Phone (970) 586-5577

Practitioners & affiliated clinicians

Practitioners 3

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1508937517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 E WONDER VIEW AVE # 1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179647",
            "telephone_number": "970-586-5577",
            "fax_number": "970-586-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E WONDER VIEW AVE # B1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179647",
            "telephone_number": "970-586-5577",
            "fax_number": "970-586-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PHARMACY OF ESTES PARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "970-586-1930",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO.0390000005",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03001708",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKY MOUNTAIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.