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COBIGRED INC NPI 1053673699


NPI Information

NPI: 1053673699
Provider Name: COBIGRED INC

Doing Business As: HOMETOWN PHARMACY AND MEDICAL

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
824 E MAIN ST
TRINIDAD, CO
ZIP 81082
Phone: (719) 845-0069
Get Directions

COBIGRED INC is a pharmacy in Trinidad, CO. The provider is 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. COBIGRED INC NPI is 1053673699. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Pharmacy And Medical.

The provider's business location address is:

824 E MAIN ST
TRINIDAD, CO
ZIP 81082-782
Phone: (719) 845-0069
Fax: (719) 846-8439

The provider's authorized official is Patrick Scheels .
The authorized official title is Secretary/owner and has the following contact phone number (303) 898-7183.

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5333600000XPharmacy557COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159624574MEDICAIDCOLORADO
21053673699OTHERCOLORADONPI
36715040001MEDICARE NSC
40622755OTHERCOLORADONCPDP
52137541OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.