NPIMap

Organization Active NPI

Summit Community Care Clinic, Inc.

  • Community/Retail Pharmacy
  • Frisco, CO
National Provider Identifier
1750035440
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUMMIT COMMUNITY CARE CLINIC, INC.
Practice address
360 Peak One Drive
Suite 100a
Frisco, CO 80443-5948
Phone
(970) 486-3110
Fax
(970) 486-8476
NPI assigned
Feb 10, 2022
Organization subpart
Yes
Parent organization
SUMMIT COMMUNITY CARE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Josh Cogdill, MBA
Title
Ceo
Phone
(970) 668-6889

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

360 Peak One Drive
Suite 100a
Frisco, CO 80443-5948

Mailing address

1620 W. Northwest Hwy
Suite 100
Grapevine, TX 76051
Phone (817) 572-0009

Other identifiers 1

IdentifierTypeStateIssuer
343134MedicaidCO

Other names 1

  • Elevated Community Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Community Care Clinic18 organizations share this tax ID, including this one
Part of
Summit Community Care Clinic

Other organizations with this tax ID 17

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

View all 17

Locations

360 Peak One Dr
Ste 100A
Frisco, CO 80443
Phone (970) 486-3110

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1750035440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. NORTHWEST HWY",
            "address_2": "SUITE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-572-0009",
            "fax_number": "817-572-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DRIVE",
            "address_2": "SUITE 100A",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-486-3110",
            "fax_number": "970-486-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COMMUNITY CARE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT COMMUNITY CARE CLINIC, INC.",
        "enumeration_date": "2022-02-10",
        "last_updated": "2025-04-22",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "COGDILL",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-668-6889",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343134",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Community Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.