TMB Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1680000002 Issued in CO

Legal business name

TMB CORPORATION

Doing business as

Abts Pharmacy Haxtun

Practice address

235 W Fletcher St
Haxtun, CO 80731-2737

Phone

(970) 774-3784

Fax

(970) 774-3785

NPI assigned

Jul 10, 2012

Last updated

Feb 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Bumgardner

Title

Owner/President/Pharmacist

Phone

(970) 474-3672

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Abts Pharmacy Haxtun Doing business as

Locations

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1699030288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER ST",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "970-474-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W FLETCHER ST",
            "city": "HAXTUN",
            "state": "CO",
            "postal_code": "807312737",
            "telephone_number": "970-774-3784",
            "fax_number": "970-774-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "BUMGARDNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "970-474-3672"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1680000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0622654",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44108877",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abts Pharmacy Haxtun",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Boces
• Portercare Adventist Health System (Orpc Ortho Haxtun)
• Prairie Vista Family Dental
• Tanner Reed
• Lila A Statz, MD
• Marianne E Webb, APN, RXN, PMHCNS-BC

• Community/Retail Pharmacy in Haxtun, CO
• Providers in Haxtun, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.