PIONEER PHARMACY LLC NPI 1912985136

NPI Information

  • NPI: 1912985136
  • Provider Name: PIONEER PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: PIONEER PHARMACY LLC
  • Address: 3895 UPHAM ST
    STE 60
    WHEAT RIDGE, CO
    ZIP 80033
  • Phone: (303) 252-7990

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NPI Details

PIONEER PHARMACY LLC is a long term care pharmacy pharmacy in Wheat Ridge, CO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PIONEER PHARMACY LLC NPI is 1912985136. The provider is registered as an organization entity type.
The provider Is Doing Business As Pioneer Pharmacy Llc.

The provider's business location address is:

3895 UPHAM ST
STE 60
WHEAT RIDGE, CO
ZIP 80033-651
Phone: (303) 252-7990
Fax: (303) 252-7991

The provider's authorized official is Brandon Hagen .
The authorized official title is Owner and has the following contact phone number (303) 525-7990.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 11/4/2016.

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
13336L0003XPharmacyLong Term Care Pharmacy643COLORADOYes

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
12003854OTHERPK
2A5857059MEDICAIDCOLORADO

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: 11/21/2025

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