Active NPI
Laura Pultorak, PHARMD
- Oncology Pharmacist
- Cortez, CO
National Provider Identifier
1669108684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- PHA.0021961
- Practice address
- 1311 N Mildred Rd
Cortez, CO 81321-2299 - Phone
- (970) 564-2190
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | PHA.0021961 | CO | Primary |
Addresses
Primary practice location
1311 N Mildred Rd
Cortez, CO 81321-2299
Mailing address
1311 N Mildred Rd
Cortez, CO 81321-2299
Phone (970) 564-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0021961 | CO | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1669108684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 N MILDRED RD",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212299",
"telephone_number": "970-564-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 N MILDRED RD",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212299",
"telephone_number": "970-564-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULTORAK",
"first_name": "LAURA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CO",
"license": "PHA.0021961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.