Pioneer Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

841 Issued in CO

Legal business name

PIONEER PHARMACY LLC

Doing business as

Pioneer Pharmacy LLC

Practice address

1115 Elkton Dr Ste 203
Colorado Springs, CO 80907-3597

Phone

(303) 252-7990

Fax

(303) 252-7991

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Brandon Hagen

Title

Director of Operations

Phone

(303) 252-7990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pioneer Pharmacy LLC Doing business as

Tax ID family

Pioneer Pharmacy LLC2 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.

• Pioneer Pharmacy LLC

  • Long Term Care Pharmacy
  • Wheat Ridge, CO
  • NPI 1912985136
  NPD tax ID

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1548536899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650329",
            "telephone_number": "303-252-7990",
            "fax_number": "303-252-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "303-252-7990",
            "fax_number": "303-252-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-252-7990"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CO",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0622476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Pinto, FNP-C
• Paul C Pinto, MD
• Taylor Pinto, FNP-C
• Pinwheel Psychological Services, PLLC
• Pioneer Chiropractic Inc
• Ricky S Pionkowski, MD
• Annabelle Piper
• Dale Alan Piper, PSY.D.
• Julie L Piper, LMFT
• Zebrina Piper, CERTIFIED COLON HYDR

• Long Term Care Pharmacy in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Long Term Care Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.