NPIMap

Organization Active NPI

Vail Valley Pharmacy

  • Community/Retail Pharmacy
  • Edwards, CO
National Provider Identifier
1972869725
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
839 Issued in CO
Legal business name
VAIL VALLEY PHARMACY
Practice address
105 Edwards Village Blvd Ste G-107
Edwards, CO 81632
Phone
(970) 569-4150
Fax
(970) 569-4149
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Courtney Lambrecht, PHARMDNPI 1720427891
Title
Owner/Operator
Phone
(970) 569-4150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 839 CO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

105 Edwards Village Blvd Ste G-107
Edwards, CO 81632

Mailing address

PO Box 2868
Edwards, CO 81632-2868
Phone (970) 476-7308

Other identifiers 2

IdentifierTypeStateIssuer
2131349OtherPK
92209769MedicaidCO

Other names 1

  • Vail Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1972869725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2868",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816322868",
            "telephone_number": "970-476-7308",
            "fax_number": "970-476-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EDWARDS VILLAGE BLVD STE G-107",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-569-4150",
            "fax_number": "970-569-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "LAMBRECHT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "970-569-4150",
        "authorized_official_credential": "PHARMD"
    },
    "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": "839",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92209769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.