Active NPI
Medical BLD Pharmacy Inc
- Pharmacy
- Boulder, CO
National Provider Identifier
1720143142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 90000001
- Legal business name
- MEDICAL BLD PHARMACY INC
- Practice address
- 1000 Alpine Ave
Ste 60
Boulder, CO 80304-3406 - Phone
- (303) 444-4448
- Fax
- (303) 444-4449
- NPI assigned
- Dec 26, 2006
- Organization subpart
- Yes
- Parent organization
- MEDICAL BLD PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Arnold, RPH
- Title
- Pres
- Phone
- (303) 444-4448
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 90000001 | CO | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1000 Alpine Ave
Ste 60
Boulder, CO 80304-3406
Mailing address
1000 Alpine Ave
Ste 60
Boulder, CO 80304-3406
Phone (303) 444-4448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03036050 | Medicaid | CO | |
| 0607842 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- ALPINE PROFESSIONAL PHARMACY
National Provider Directory
National Provider Directory- Part of
- Medical BLD Pharmacy Inc
Locations
1000 Alpine Ave
Ste 60
Boulder, CO 80304
Phone (303) 444-4448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1720143142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ALPINE AVE",
"address_2": "STE 60",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043406",
"telephone_number": "303-444-4448",
"fax_number": "303-444-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ALPINE AVE",
"address_2": "STE 60",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043406",
"telephone_number": "303-444-4448",
"fax_number": "303-444-4449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL BLD PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDICAL BLD PHARMACY INC",
"enumeration_date": "2006-12-26",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "303-444-4448",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CO",
"license": "90000001",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03036050",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0607842",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALPINE PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.