Anthony R Cecere, PHARMACIST
Individual provider Active NPI Pharmacist · Gunnison, CO
NPI 1619310653 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1619310653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11056 (CO)
- Practice address
- 880 N Main St
Gunnison, CO 81230-2414 - Phone
- (970) 641-6379
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11056 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11056 | CO | Yes |
Addresses
Primary practice location
880 N Main St
Gunnison, CO 81230-2414
Mailing address
880 N Main St
Gunnison, CO 81230-2414
Phone (970) 641-6379
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.