PIONEER PHARMACY LLC


Address: 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597
Phone: 3032527990

PIONEER PHARMACY LLC (NPI# 1548536899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548536899
Entity Type Organization
Organization Name PIONEER PHARMACY LLC
Other Organization Name PIONEER PHARMACY LLC
Practice Address 1115 Elkton Dr Ste 203
Colorado Springs
CO 80907-3597
Mailing Address Po Box 329
Riverton
UT 84065-0329
Practice Telephone 3032527990
Practice Fax Number 3032527991
Mailing Telephone 3032527990
Mailing Fax Number 3032527991
Enumeration Date 2012-03-30
Last Update Date 2012-06-01
Authorized Official Name BRANDON HAGEN (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 3032527990
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
841 CO Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 0622476 01

Other Provider/Organization Names

Other Name Type Code
Pioneer Pharmacy LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912985136 Pioneer Pharmacy LLC Pharmacy 3895 Upham St, Ste 60, Wheat Ridge, CO 80033-4651 2006-01-06

Office Location

Street Address 1115 ELKTON DR STE 203
City COLORADO SPRINGS
State CO
Zip Code 80907-3597

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1063981777 Samuel Ray Porterfield Social Worker Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 2018-11-26
1982170114 A Physicians Home Care Home Health 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 2018-10-15
1689196180 Reena Annetta Manka Counselor 888 Garden of The Gods, 150, Colorado Springs, CO 80907 2017-07-17
1356870356 Solaris Hc Co Inc Hospice Care, Community Based 1045 Garden of Gods Rd, Colorado Springs, CO 80907 2017-06-05
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447374046 Kohler Professional Pharmacy LLC Pharmacy 1007 Elkton Drive, Colorado Springs, CO 80907-7556 2007-03-19
1285746115 Pharmacies West Inc Pharmacy 2306 N Wahsatch Ave, Colorado Springs, CO 80907-6957 2006-08-31
1043862485 Park Ave Apothecary LLC Pharmacy 2431 N Union Blvd, Colorado Springs, CO 80909-1107 2019-07-16
1396309829 Professional Pharmacy, LLC Pharmacy 595 Chapel Hills Dr Ste 104, Colorado Springs, CO 80920-1024 2019-04-30
1841745528 Premier Pharmacy Group LLC Pharmacy 101 S Union Blvd, Colorado Springs, CO 80910-3137 2016-08-23
1194002527 Mike Epstein Pharmacy 101 S Union Blvd, Colorado Springs, CO 80910-3137 2011-11-14
1174784268 Genoa Healthcare, LLC Pharmacy 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2008-06-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659918894 Beatties Community Pharmacy LLC Pharmacy 3140 Village Vista Dr Unit 100, Erie, CO 80516-2529 2019-12-06
1710477385 Cd Colorado Pharmacy LLC Pharmacy 1240 S Parker Rd Ste 200, Denver, CO 80231-2177 2018-05-18
1275053761 Mountain Key Rx Pharmacy 18172 Teller County Road 1, Florissant, CO 80816 2017-06-26
1053780866 Vista Care Pharmacy LLC Pharmacy 133 Adams St, Monte Vista, CO 81144-1444 2015-09-22
1235516402 Op Pharmacy LLC Pharmacy 6021 S Syracuse Way Ste 117, Greenwood Village, CO 80111-4747 2015-04-27
1326483108 Trhc Opco, Inc. Pharmacy 5303 Spine Rd Ste 100, Boulder, CO 80301-3300 2013-05-07
1467580720 High Plains Medical LLC Pharmacy 314 14th St, Burlington, CO 80807-1608 2007-03-01
1265597447 Rx Plus Limited Palisade LLC Pharmacy 707 Elberta Ave Unit B, Palisade, CO 81526-8806 2006-12-27
1871667246 Omnicare of New York, LLC Pharmacy 504 28 1/4 Rd, Grand Junction, CO 81501-4993 2006-11-20
1174600209 Haldun Inc A Colorado Corporation Pharmacy 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 2006-11-01
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Competitor

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City COLORADO SPRINGS
Zip Code 80907

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Dataset Information

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.

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