NPIMap

Organization Active NPI

Pharmaca Integrative Pharmacy

  • Community/Retail Pharmacy
  • Boulder, CO
National Provider Identifier
1699163634
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACA INTEGRATIVE PHARMACY
Practice address
4940 Pearl East Cir
Boulder, CO 80301-2489
Phone
(505) 379-0472
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Greg Legore
Title
Director of Pharmacy Operations
Phone
(805) 217-5986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4940 Pearl East Cir
Boulder, CO 80301-2489

Mailing address

4940 Pearl East Cir
Boulder, CO 80301-2489
Phone (303) 867-3182

National Provider Directory

National Provider Directory
Tax ID family
Pharmaca Integrative Phar9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

4940 Pearl East Cir
Boulder, CO 80301
Phone (505) 379-0472

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1699163634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 PEARL EAST CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012489",
            "telephone_number": "303-867-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 PEARL EAST CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012489",
            "telephone_number": "505-379-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACA INTEGRATIVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "LEGORE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "805-217-5986"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.