FTHLLS FAM PHCY OF LOUISVILLE LLC (NPI# 1508887563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508887563 |
| Entity Type | Organization |
| Organization Name | FTHLLS FAM PHCY OF LOUISVILLE LLC |
| Other Organization Name | FOOTHILLS FAMILY PHARMACY |
| Practice Address |
90 Health Park Dr Ste 130 Louisville CO 80027-9757 |
| Practice Telephone | 3039260031 |
| Practice Fax Number | 3039261177 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CALVIN TYREE (PRESIDENT) |
| Authorized Official Telephone | 3032500466 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 651 | CO | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0619948 | 01 |
| Other Name | Type Code |
|---|---|
| FOOTHILLS FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
90 HEALTH PARK DR STE 130 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362657 | Brad Douglas Anderson | Family Medicine | 90 Health Park Dr, Suite 260, Louisville, CO 80027-9757 | 2005-08-10 |
| 1487195780 | Lauren Mrkva | Nurse Practitioner | 90 Health Park Dr, #170, Louisville, CO 80027-9757 | 2017-03-20 |
| 1043661226 | Gemma Stella | Nurse Practitioner | 90 Health Park Dr, Ste 350, Louisville, CO 80027-9757 | 2016-06-28 |
| 1881051035 | Elizabeth M Kilmer-sterling | Advanced Practice Midwife | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2016-01-19 |
| 1730503350 | Columbine & Flatirons Dermatology Associates | Dermatology | 90 Health Park Dr, Suite 390, Louisville, CO 80027-9757 | 2014-02-18 |
| 1790107373 | Flatiron Allergy & Asthma Center | Allergy & Immunology | 90 Health Park Dr, 170, Louisville, CO 80027-9757 | 2014-01-15 |
| 1104160589 | Stephanie Rae Traver | Nurse Practitioner | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-11-25 |
| 1952666422 | Kirigin Elstad Watkins | Obstetrics & Gynecology | 90 Health Park Dr, Suite 290, Louisville, CO 80027-9757 | 2012-07-10 |
| 1740552199 | Portercare Adventist Health System | Internal Medicine | 90 Health Park Dr, Suite 190, Louisville, CO 80027-9757 | 2012-02-01 |
| 1396061438 | Amy Elizabeth Morin | Nurse Practitioner | 90 Health Park Dr, Suite #320, Louisville, CO 80027-9757 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1831540368 | Cordant Pharmacy Kentucky LLC | Pharmacy | 10503 Timberwood Cir Ste 202, Louisville, KY 40223-5395 | 2016-06-27 |
| 1386099661 | Costco Wholesale Corporation | Pharmacy | 3408 Bardstown Rd, Louisville, KY 40218 | 2016-04-25 |
| 1316307994 | Jac Stores Inc | Pharmacy | 326 Route 45 N, Louisville, IL 62858-2652 | 2016-02-25 |
| 1750750394 | My Rx LLC | Pharmacy | 170 Dr Arla Way Ste 105, Louisville, KY 40229-5454 | 2015-09-23 |
| 1871972620 | Jag Medical LLC | Pharmacy | 9813 Merioneth Dr, Louisville, KY 40299 | 2015-05-27 |
| 1215331293 | Shri Siddi Vinayaka Drugs Inc | Pharmacy | 322 W Woodlawn Ave, Louisville, KY 40214-1924 | 2014-10-20 |
| 1316285661 | Cpo Psc | Pharmacy | 4402 Churchman Ave Ste 404, Louisville, KY 40215-3102 | 2013-01-22 |
| 1588931836 | Panniche Compounding, Ltd Co | Pharmacy | 5703 Preston Hwy, Louisville, KY 40219-1305 | 2011-11-30 |
| 1104027978 | Holdaway Medical Services, LLC | Pharmacy | 11305 Bluegrass Pkwy, Louisville, KY 40299-2347 | 2007-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
Please comment or provide details below to improve the information on FTHLLS FAM PHCY OF LOUISVILLE LLC.
| 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.