REAMS PALACE DRUG INC NPI 1518042936

NPI Information

  • NPI: 1518042936
  • Provider Name: REAMS PALACE DRUG INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PALACE DRUG
  • CLIA Number: 06D2246995
  • Address: 601 MAIN ST
    CANON CITY, CO
    ZIP 81212
  • Phone: (719) 275-3375

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NPI Details

REAMS PALACE DRUG INC is a pharmacy in Canon City, 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. REAMS PALACE DRUG INC NPI is 1518042936. The provider is registered as an organization entity type.
The provider Is Doing Business As Palace Drug.

The provider's business location address is:

601 MAIN ST
CANON CITY, CO
ZIP 81212-736
Phone: (719) 275-3375
Fax: (719) 275-4756

The provider's authorized official is William Shelver .
The authorized official title is Ceo and has the following contact phone number (719) 275-3375.

The CLIA number assigned to this NPI record is 06D2246995 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 5 res (HCPCS:0044A)

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/1/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy170000004COLORADONo
23336L0003XPharmacyLong Term Care PharmacyNo
3333600000XPharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103735081MEDICAIDCOLORADO
22000845OTHERPK

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: 3/30/2025

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