DR. DEMELASH ALTAYE (NPI# 1215475926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215475926 |
| Entity Type | Individual |
| Full Name | DR. DEMELASH ALTAYE |
| Credential | PHARM D. |
| Practice Address |
906 E Olive St Lamar CO 81052-2966 |
| Mailing Address |
2513 S Genoa St Aurora CO 80013-4302 |
| Practice Telephone | 7193360880 |
| Mailing Telephone | 7205140435 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0021612 | CO | Pharmacy Service Providers |
| Street Address |
906 E OLIVE ST |
| City | LAMAR |
| State | CO |
| Zip Code | 81052-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548299506 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 906 E Olive St, Lamar, CO 81052-2966 | 2006-07-02 |
| 1649805060 | Ben Kim | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2020-03-05 |
| 1073082756 | Casey Gray | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2018-11-25 |
| 1114435948 | Daniel James Wessel | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2018-01-15 |
| 1336493899 | Ji-hye Park | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2012-11-06 |
| 1730489162 | Roger Foster | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2010-11-02 |
| 1518267418 | Katie Ellayne Appel | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912370 | Tamela Ray Marie Williams | Registered Nurse | 1001 S Main Street, Lamar, CO 81052 | 2020-08-10 |
| 1912557513 | Sabra Perdue | Registered Nurse | 1001 S. Main St, Lamar, CO 81052 | 2019-09-16 |
| 1134687676 | Mary Lou Montez | Licensed Practical Nurse | 3501 S. Main St., Lamar, CO 81052 | 2019-03-04 |
| 1700316593 | Charles Nolan Philpy | Optometrist | 1607 S Main St, Lamar, CO 81052 | 2017-06-14 |
| 1740650431 | Sand and Sage Personal Care Agency | Home Health | 117 West Elm Street, Lamar, CO 81052 | 2015-10-07 |
| 1396152641 | Colorado Plains Home Health LLC | Home Health | 109 W Lee St., #15, Lamar, CO 81052 | 2014-07-18 |
| 1033541362 | Tammie L Clark | Registered Nurse | 1001 South Main, Lamar, CO 81052 | 2013-08-09 |
| 1417200163 | Karen A Loveless | Case Manager/Care Coordinator | 100 Kendall Dr., Lamar, CO 81052 | 2012-10-18 |
| 1366614075 | Lamar Chiropractic | Chiropractor | 103 E Elm St, Lamar, CO 81052 | 2008-04-02 |
| 1740451996 | Gerald A Branes | Dentist | 109 West Lee, No. 5, Lamar, CO 81052 | 2008-03-17 |
| Find all providers in zip 81052 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959118 | Alana Gilmartin | Pharmacist | 605 A W 12th St, Lamar, MO 64759 | 2017-08-22 |
| 1437278967 | Audrey Ann Russell | Pharmacist | 605a W 12th St, Lamar, MO 64759-1703 | 2007-03-28 |
| 1386245991 | Genice Farrell | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-11-02 |
| 1326648718 | Yvette Hermsen-gordon | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-10-27 |
| 1649870197 | Jessica Robertson | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-10-26 |
| 1649805060 | Ben Kim | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2020-03-05 |
| 1932745718 | Camlinh Ngoc Vu | Pharmacist | 1432 E Olive St, Lamar, CO 81052-2958 | 2019-11-27 |
| 1548723729 | Derek T Hettinger | Pharmacist | 1432 E Olive St, Lamar, CO 81052-2958 | 2019-04-13 |
| 1073082756 | Casey Gray | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2018-11-25 |
| 1710455308 | Mackenzie Obermeyer | Pharmacist | 605a W 12th St, Lamar, MO 64759-1703 | 2018-11-13 |
| Find all providers in LAMAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.