Individual provider Active NPI

Kathryn Collamore, PHARM.D., RPH

  • Pharmacist
  • Loveland, CO
National Provider Identifier
1669755815
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17370 Issued in CO
Practice address
2370 W Eisenhower Blvd
Loveland, CO 80537-3150
Phone
(970) 612-0243
Fax
(970) 612-0246
NPI assigned
Sep 23, 2011
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10854 AL
Pharmacist 183500000X 3136 WY
Pharmacist 183500000X S010561 AZ
Pharmacist 183500000X PS20807 FL
Pharmacist 183500000X 17370 CO Primary

Addresses

Primary practice location

2370 W Eisenhower Blvd
Loveland, CO 80537-3150

Mailing address

2268 E Harmony Rd
Fort Collins, CO 80528-3412
Phone (970) 530-2692

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S010561AZMDPharmacist
17370COMDPharmacist
PS20807FLMDPharmacist
3136WYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1669755815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 E HARMONY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283412",
            "telephone_number": "970-530-2692",
            "fax_number": "970-612-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373150",
            "telephone_number": "970-612-0243",
            "fax_number": "970-612-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAMORE",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10854",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3136",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010561",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS20807",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "17370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.