Organization Active NPI

Uch-MHS

Doing business as Uchealth Springs Pharmacy

  • Community/Retail Pharmacy
  • Colorado Springs, CO
National Provider Identifier
1679637904
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PDO-990000066 Issued in CO
Legal business name
UCH-MHS
Doing business as
Uchealth Springs Pharmacy
Practice address
1400 E Boulder St RM 1160
Colorado Springs, CO 80909-5533
Phone
(719) 365-2525
NPI assigned
Dec 21, 2006
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Gregory Alan Harden
Title
Cfo
Phone
(719) 365-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PDO-990000066 CO Primary

Addresses

Primary practice location

1400 E Boulder St RM 1160
Colorado Springs, CO 80909-5533

Mailing address

1400 E Boulder St RM 1160
Colorado Springs, CO 80909-5533

Other identifiers 1

IdentifierTypeStateIssuer
0617110OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • UCHEALTH SPRINGS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180430000998 CO DME Supplier - Pharmacy 4486803426 Practice locations: Colorado Springs, CO
O20211201002205 CO Part B Supplier - Mass Immunization (Roster Biller Only) 4486803426 1 other NPI on this enrollment
Practice locations: Colorado Springs, CO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Uchealth Springs Pharmacy1400 E Boulder St, Colorado Springs, CO 80909-5533(719) 365-2525 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|N… Accepts assignmentParticipating since Oct 1, 2012

National Provider Directory

National Provider Directory
Tax ID family
Uch-MHS22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 E Boulder St
Rm 1160
Colorado Springs, CO 80909
Phone (719) 365-2525

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1679637904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST RM 1160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST RM 1160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCH-MHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-365-5000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO-990000066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0617110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCHEALTH SPRINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCHEALTH SPRINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.