NPIMap

Organization Active NPI

Professional Pharmacy Services

Doing business as Good Day Pharmacy

  • Community/Retail Pharmacy
  • Eaton, CO
National Provider Identifier
1831119452
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROFESSIONAL PHARMACY SERVICES
Doing business as
Good Day Pharmacy
Practice address
180 S Elm
Eaton, CO 80615-3128
Phone
(970) 454-2110
Fax
(970) 454-1943
NPI assigned
Jul 19, 2006
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Vicki Einhellig, RPH
Title
President
Phone
(970) 461-1975

Specialties & licenses 1

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

Addresses

Primary practice location

180 S Elm
Eaton, CO 80615-3128

Mailing address

3780 E 15TH St
Suite 102
Loveland, CO 80538-8766
Phone (970) 461-1975

Other identifiers 1

IdentifierTypeStateIssuer
08228833MedicaidCO

Other names 1

  • Good Day Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

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
O20100930082957 CO DME Supplier - Pharmacy 5597659946 Practice locations: Eaton, CO

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Dougs Pharmacy23 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

180 S Elm Ave
Eaton, CO 80615
Phone (970) 454-2110

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1831119452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 E 15TH ST",
            "address_2": "SUITE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388766",
            "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": "180 S ELM",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153128",
            "telephone_number": "970-454-2110",
            "fax_number": "970-454-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "EINHELLIG",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-461-1975",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08228833",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Day Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eaton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.