Healthy Drugstore, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

592 Issued in CO

Legal business name

HEALTHY DRUGSTORE, INC

Practice address

575 Rivergate Lane
Suite 111
Durango, CO 81301-7487

Phone

(970) 375-7711

Fax

(970) 375-7722

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debbie J Nocita

Title

President

Phone

(970) 375-7711

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rivergate Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982769030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4029",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813024029",
            "telephone_number": "970-375-7711",
            "fax_number": "970-375-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LANE",
            "address_2": "SUITE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-375-7711",
            "fax_number": "970-375-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY DRUGSTORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NOCITA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-375-7711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "592",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26784068",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0619342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivergate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent T. Haynes, DDS
• Lisa Kay Hays, RN LMFT
• Healogics Specialty Physicians of Colorado-Professional, LLC
• Healthone Clinic Services - Oncology Hematology LLC
• Healthy Drugstore, Inc
• Hearn Senior Care LLC
• Alisha B Heath
• Bernard H Heath Jr., PHD
• Courtney C Heinicke, D.D.S.
• Jennifer K Heinicke, MD

• Community/Retail Pharmacy in Durango, CO
• Providers in Durango, 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 Mar 7, 2023; 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.