Organization Active NPI

Monument Pharmacy

  • Pharmacist
  • Monument, CO
National Provider Identifier
1689734592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1360000001 Issued in CO
Legal business name
MONUMENT PHARMACY
Practice address
115C Second Street
Monument, CO 80132
Phone
(719) 481-2209
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lee Frisbie, RPH
Title
Owner
Phone
(719) 481-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 1360000001 CO Primary

Addresses

Primary practice location

115C Second Street
Monument, CO 80132

Mailing address

PO Box 467
115C Second Street
Monument, CO 80132-0467
Phone (719) 481-2209

National Provider Directory

National Provider Directory

Locations

115 2nd St
Unit C
Monument, CO 80132
Phone (719) 481-2209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689734592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "address_2": "115C SECOND STREET",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801320467",
            "telephone_number": "719-481-2209",
            "fax_number": "719-481-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115C SECOND STREET",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-481-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRISBIE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-481-2209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "1360000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.