Pagosa P&C Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PDO.1000000001 Issued in CO

Legal business name

PAGOSA P&C INC.

Practice address

426 Pagosa Street
Pagosa Springs, CO 81147

Phone

(970) 264-4166

Fax

(970) 264-3289

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Toby Lirot

Title

Vice-President

Phone

(970) 264-4166

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pagosa Specialty Pharmacy Doing business as

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1932453289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 120",
            "address_2": "426 PAGOSA STREET,",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-4166",
            "fax_number": "970-264-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 PAGOSA STREET",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "81147",
            "telephone_number": "970-264-4166",
            "fax_number": "970-264-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGOSA P&C INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "LIROT",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "970-264-4166"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO.1000000001",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "PDO.1000000001",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CO",
            "license": "PDO.1000000001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PDO.1000000001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0622779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagosa Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Owens, LMT
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• Pagosa Womens Health and Wellness Inc.

• Community/Retail Pharmacy in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.