PIONEER PHARMACY LLC (NPI# 1912985136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912985136 |
| Entity Type | Organization |
| Organization Name | PIONEER PHARMACY LLC |
| Other Organization Name | PIONEER PHARMACY LLC |
| Practice Address |
3895 Upham St Ste 60 Wheat Ridge CO 80033-4651 |
| Mailing Address |
Po Box 329 Riverton UT 84065-0329 |
| Practice Telephone | 3032527990 |
| Practice Fax Number | 3032527991 |
| Mailing Telephone | 3032522990 |
| Mailing Fax Number | 3032527991 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | BRANDON HAGEN (OWNER) |
| Authorized Official Telephone | 3035257990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
643 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2003854 | 01 | |
| CO | A5857059 | 05 |
| Other Name | Type Code |
|---|---|
| PIONEER PHARMACY LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548536899 | Pioneer Pharmacy LLC | Pharmacy | 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597 | 2012-03-30 |
| Street Address |
3895 UPHAM ST STE 60 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972959971 | Katherine Kerns | Audiologist | 3895 Upham St, Suite 201, Wheat Ridge, CO 80033-4651 | 2016-05-09 |
| 1942669692 | Envision Hospice of Colorado LLC | Hospice Care, Community Based | 3895 Upham St, Wheat Ridge, CO 80033-4651 | 2016-02-22 |
| 1023420064 | Mark Taber | Pharmacist | 3895 Upham St, Wheat Ridge, CO 80033-4651 | 2014-05-26 |
| 1174835110 | Jennifer Ann Connelly | Pharmacist | 3895 Upham St, Wheat Ridge, CO 80033-4651 | 2010-07-07 |
| 1063605855 | Sandra Kay Berry | Pharmacist | 3895 Upham St, Suite 060, Wheat Ridge, CO 80033-4651 | 2007-08-24 |
| 1376657411 | Douglas Jay Dart | Specialist | 3895 Upham St, Suite 201, Wheat Ridge, CO 80033-4651 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174600209 | Haldun Inc A Colorado Corporation | Pharmacy | 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 | 2006-11-01 |
| 1497214332 | Wheatridge Drug Store LLC | Pharmacy | 6650 W 38th Ave, Wheat Ridge, CO 80033-4906 | 2019-03-19 |
| 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 |
| 1548536899 | Pioneer Pharmacy LLC | Pharmacy | 1115 Elkton Dr Ste 203, Colorado Springs, CO 80907-3597 | 2012-03-30 |
| 1447374046 | Kohler Professional Pharmacy LLC | Pharmacy | 1007 Elkton Drive, Colorado Springs, CO 80907-7556 | 2007-03-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.