NPIMap

Organization Active NPI

Professional Pharmacy Services, Inc.

  • Community/Retail Pharmacy
  • Yuma, CO
National Provider Identifier
1770628307
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1320000003 Issued in CO
Legal business name
PROFESSIONAL PHARMACY SERVICES, INC.
Practice address
315 E 8TH Ave
Yuma, CO 80759
Phone
(970) 848-5427
Fax
(970) 848-0445
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Vickilee Knight Einhellig, RPH
Title
President, Coo
Phone
(970) 461-1975

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1320000003 CO Primary

Addresses

Primary practice location

315 E 8TH Ave
Yuma, CO 80759

Mailing address

3780 E 15TH Street
Suite 100
Loveland, CO 80538
Phone (970) 461-1975

Other identifiers 2

IdentifierTypeStateIssuer
03808029MedicaidCO
2001214OtherPK

Other names 2

  • Good Day Pharmacy Doing business as
  • SHOP ALL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000674 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5597659946 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eaton, CO; Fort Collins, CO; Greeley, CO; Johnstown, CO; Longmont, CO; Loveland, CO; Wellington, CO; Yuma, CO

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Prof Pharm SVCS23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

3780 E 15th St
Ste 100
Loveland, CO 80538

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1770628307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH STREET",
            "address_2": "SUITE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "80538",
            "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": "315 E 8TH AVE",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "80759",
            "telephone_number": "970-848-5427",
            "fax_number": "970-848-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKILEE",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "PRESIDENT, COO",
        "authorized_official_telephone_number": "970-461-1975",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1320000003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03808029",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Day Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHOP ALL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.