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CHINOOK LTC
NPI 1134618879
Pharmacy - Long Term Care Pharmacy in Lafayette, CO

Active since May 08, 2018
275 WANEKA PKWY STE 10, LAFAYETTE, CO 80026(720) 458-4887(720) 890-6144 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chinook Ltc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHINOOK LTC (NPI 1134618879) is a healthcare organization registered as a long term care pharmacy in Lafayette, Colorado and active in the NPI registry since May 2018. The organization lists Tyson Hodge, President, as its authorized official.

NPPES Registry Identity

NPI1134618879
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCHINOOK HEALTHCARE IN
Location Address275 WANEKA PKWY STE 10Lafayette, CO 80026-8857
Mailing Address275 Waneka Pkwy, Suite 10Lafayette, CO 80026-8873 · (720) 458-4887 · Fax (720) 890-6144
Phone(720) 458-4887
Fax(720) 890-6144
Organization SubpartNo
Authorized OfficialTyson HodgePresident · (720) 458-4887
Enumeration DateMay 8, 2018
✔ NPI 1134618879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in CO · 1680000058
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
275 WANEKA PKWY STE 10, Lafayette, CO 80026
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Other Names 1

Doing Business AsChinook Ltc

Other Identifiers 2

Medicaid54930022CO
Other2177389Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chinook Healthcare In's NPI number?

The NPI number for Chinook Healthcare In is 1134618879. It was assigned to this organization in the NPPES registry on May 8, 2018. The provider is doing business as Chinook Ltc.

Where is Chinook Healthcare In located?

Chinook Healthcare In is located at 275 Waneka Pkwy Ste 10, Lafayette, CO 80026. The listed phone number is (720) 458-4887.

What is Chinook Healthcare In's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Chinook Healthcare In was last updated on May 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.