Organization Active NPI

Infusion Treatment Centers Inc

Doing business as Itc Compounding and Natural Wellness Pharmacy

  • Point of Service
  • Castle Rock, CO
National Provider Identifier
1548437114
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
370000018 Issued in CO
Legal business name
INFUSION TREATMENT CENTERS INC
Doing business as
Itc Compounding and Natural Wellness Pharmacy
Practice address
651 Topeka Way Ste 600
Castle Rock, CO 80109-3116
Phone
(303) 663-4224
NPI assigned
May 13, 2008
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Allan Jolly, R.PH.
Title
Co-President
Phone
(303) 663-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 370000018 CO Primary

Addresses

Primary practice location

651 Topeka Way Ste 600
Castle Rock, CO 80109-3116

Mailing address

651 Topeka Way Ste 600
Castle Rock, CO 80109-3116
Phone (303) 663-4224

Other names 1

  • ITC COMPOUNDING AND NATURAL WELLNESS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Infusion Treatment Centers Inc2 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

651 Topeka Way
Ste 600
Castle Rock, CO 80109
Phone (303) 663-4224

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1548437114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 TOPEKA WAY STE 600",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093116",
            "telephone_number": "303-663-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 TOPEKA WAY STE 600",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093116",
            "telephone_number": "303-663-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION TREATMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "303-663-4224",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "370000018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITC COMPOUNDING AND NATURAL WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.