Mesa Pharmacy of Pueblo, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10429 Issued in CO

Legal business name

MESA PHARMACY OF PUEBLO, INC.

Doing business as

Mesa Pharmacy

Practice address

25140 E US Highway 50
Pueblo, CO 81006-9737

Phone

(719) 544-1371

Fax

(719) 546-1961

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Margaret A Frantz, RPHNPI 1023624459

Title

Pharmacy Manager

Phone

(719) 544-1371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mesa Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

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

Locations

Practitioners 4

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

• Margaret Anne Frantz

  • Pharmacist
  • Pueblo, CO
  • NPI 1023624459
  NPD (past) Authorized official
• Nick Sam Rougas, R.PH.

  • Pharmacist
  • Pueblo, CO
  • NPI 1538436118
  NPD
• Tom Sam Rougas, R.PH.

  • Pharmacist
  • Pueblo, CO
  • NPI 1083229868
  NPD
• Douglas Clark, PHARMD

  • Pharmacist
  • Pueblo, CO
  • NPI 1174113716
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1710097969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25140 E US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810069737",
            "telephone_number": "719-544-1371",
            "fax_number": "719-546-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25140 E US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810069737",
            "telephone_number": "719-544-1371",
            "fax_number": "719-546-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHARMACY OF PUEBLO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "FRANTZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "719-544-1371",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "10429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03589223",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Elisabeth Mensing, MSPT
• Mentally Ill Kids in Distress (Mikid)
• John Zachary Merchant
• Paul Glenn Merchant Jr., M.D.
• Nathaniel S. Merriott
• Dillon Meserve
• Mohammad Reza Mesmarian, DDS
• Savanna Rose Messer
• Mitchell Albert Mestas
• Ron Mestas, LPC

• Pharmacist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.