Active NPI
Crested Butte Grocery, LLC
- Community/Retail Pharmacy
- Crested Butte, CO
National Provider Identifier
1780210237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CRESTED BUTTE GROCERY, LLC
- Doing business as
- Clark's Market
- Practice address
- 502 Belleview Ave
Crested Butte, CO 81224 - Phone
- (618) 660-8754
- NPI assigned
- Mar 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josh Eplin, PHARMD
- Title
- Pharmacy Manager
- Phone
- (618) 660-8754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
502 Belleview Ave
Crested Butte, CO 81224
Mailing address
PO Box 3068
Crested Butte, CO 81224-3068
Other names 1
- Clark's Market
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Crested Butte, CO
- NPI 1326399767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584403200000",
"number": "1780210237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3068",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "812243068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 BELLEVIEW AVE",
"city": "CRESTED BUTTE",
"state": "CO",
"postal_code": "81224",
"telephone_number": "618-660-8754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTED BUTTE GROCERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A",
"authorized_official_last_name": "EPLIN",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "618-660-8754",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clark's Market",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crested Butte, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.