Apotheca LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

OO.0000611 Issued in CO

Legal business name

APOTHECA LLC

Practice address

171 N. Cora St.
Suite 100
Ridgway, CO 81432

Phone

(970) 626-4432

Fax

(970) 626-4032

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Common

Title

Pic, Managing Member

Phone

(970) 728-0488

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Apotheca at Ridgway Doing business as

Tax ID family

Apotheca at Ridgway2 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.

• Apotheca LLC

  • Community/Retail Pharmacy
  • Telluride, CO
  • NPI 1063729101
  NPD tax ID

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1578050423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814321299",
            "telephone_number": "970-626-4432",
            "fax_number": "970-626-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N. CORA ST.",
            "address_2": "SUITE 100",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "81432",
            "telephone_number": "970-626-4432",
            "fax_number": "970-626-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "COMMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PIC, MANAGING MEMBER",
        "authorized_official_telephone_number": "970-728-0488"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "OO.0000611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apotheca at Ridgway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access to Wellness LLC
• Michael William Anderson, MD
• Jessica Elizabeth Balbo, D.C
• Doreen Larisch Barefoot
• Stevens Baker Bent
• Barbra Blake, LCSW
• Jason Anthony Bojar, D.C., M.S., CNS

• All providers in Ridgway, CO
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.