NPIMap

Organization Active NPI

Professional Pharmacy Services Inc.

  • Community/Retail Pharmacy
  • Fort Collins, CO
National Provider Identifier
1528097508
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
44-27 Issued in CO
Legal business name
PROFESSIONAL PHARMACY SERVICES INC.
Practice address
1024 Lemay Ave
Fort Collins, CO 80524
Phone
(970) 495-8040
Fax
(970) 495-7616
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Vicki Einhellig, RPH
Title
President
Phone
(970) 461-1975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 44-27 CO Primary

Addresses

Primary practice location

1024 Lemay Ave
Fort Collins, CO 80524

Mailing address

653 Denver Ave
Loveland, CO 80537-5128
Phone (970) 461-1975

Other identifiers 1

IdentifierTypeStateIssuer
67901042MedicaidCO

Other names 1

  • Good Day Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000674 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5597659946 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eaton, CO; Fort Collins, CO; Greeley, CO; Johnstown, CO; Longmont, CO; Loveland, CO; Wellington, CO; Yuma, CO

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1528097508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 DENVER AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375128",
            "telephone_number": "970-461-1975",
            "fax_number": "970-461-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-495-8040",
            "fax_number": "970-495-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-461-1975",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "44-27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67901042",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Day Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.