Active NPI
Rocky Mountain Pharmacy of Estes Park Inc
- Community/Retail Pharmacy
- Estes Park, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PDO.0390000005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Barton, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03001708 | Medicaid | CO | |
| 2002153 | Other | PK |
Other names 1
- ROCKY MOUNTAIN PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Estes Park, CO
- NPI 1699114835
-
- Pharmacist
- Estes Park, CO
- NPI 1144748963
-
- Pharmacotherapy Pharmacist
- Estes Park, CO
- NPI 1265791180
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.