NPIMap

Individual provider Active NPI

Joseph Poling, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Loveland, CO
National Provider Identifier
1740710219
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
19580 Issued in CO
Practice address
2033 Boise Ave
Loveland, CO 80538-5037
Phone
(970) 669-7500
Fax
(970) 667-1095
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0019580 CO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 19580 CO Primary

Addresses

Primary practice location

2033 Boise Ave
Loveland, CO 80538-5037

Mailing address

3780 E 15TH St Ste 102
Loveland, CO 80538-8768
Phone (970) 461-1975

Other practice location 1

2001 S Shields St Bldg D
Fort Collins, CO 80526-1827
Phone (970) 224-1212

Other practice location 2

2601 S LeMay Ave
Fort Collins, CO 80525-2295
Phone (970) 225-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0019580COMDPharmacist
19580COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Precision Health, Inc Past Accepting new patients
Professional Pharmacy Services Past Accepting new patients
Professional Pharmacy Services Past Accepting new patients
Professional Pharmacy Services Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740710219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH ST STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388768",
            "telephone_number": "970-461-1975",
            "fax_number": "970-461-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385037",
            "telephone_number": "970-669-7500",
            "fax_number": "970-667-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Shields St Bldg D",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805261827",
            "country_code": "US",
            "telephone_number": "970-224-1212",
            "fax_number": "970-224-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 S LeMay Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805252295",
            "country_code": "US",
            "telephone_number": "970-225-1234",
            "fax_number": "970-225-1914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLING",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0019580",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "19580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.