CEDAREDGE PHARMACY INC.
NPI 1194897447
Pharmacy - Community/Retail Pharmacy in Cedaredge, CO

NPI Status: Active since November 14, 2006

Contact Information

215 W. MAIN ST
CEDAREDGE, CO
ZIP 81413
Phone: (970) 856-3161
Fax: (970) 856-3021

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About CEDAREDGE PHARMACY INC.

Cedaredge Pharmacy Inc. is a provider established in Cedaredge, Colorado operating as a Pharmacy with a focus in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1194897447 assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PDOI200000001 (CO). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. John George Breitnauer Jr. Rph (Owner/pharmacist)

NPI
1194897447
Provider Name
CEDAREDGE PHARMACY INC.
Entity Type
Organization
Location Address
215 W. MAIN ST CEDAREDGE, CO 81413
Location Phone
(970) 856-3161
Location Fax
(970) 856-3021
Mailing Address
PO BOX 1044 CEDAREDGE, CO 81413
Mailing Phone
(970) 856-3161
Mailing Fax
(970) 856-3021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
02-14-2017
Code Navigator



Cedaredge Pharmacy Inc. is a medicare supplier with PTAN 20652011 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Ostomy Supplies or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf or Urological Supplies or Surgical Dressings.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PDOI200000001
License State
CO
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

20-1 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Bronze 1: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - EPO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
  • BannerAetna

    • BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
  • Blue Cross and Blue Shield of Kansas City

    • Blue KC Catastrophic BlueSelect EPO - EPO
    • Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze 0% Coinsurance After Deductible 9450 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
    • HeartlandBlue Bronze Standard Copay 7500 Blueprint Health - EPO
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
  • Blue Cross Blue Shield of North Dakota

    • BlueCare Gold 70 - PPO
    • BlueCare Silver 60 - PPO
    • BlueDirect Bronze 100 - PPO
    • BlueDirect Gold 90 - PPO
    • BlueDirect Silver 80 - PPO
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
  • Common Ground Healthcare Cooperative

    • CGHC Bronze $6000 - Envision Network - EPO
    • CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
    • CGHC Bronze Standard $7500 - Envision Network - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
  • HealthPartners

    • Atlas $1,000 w/Copay P-S Gold - PPO
    • Atlas $1,500 w/Copay P-S Gold - PPO
    • Atlas $3,000 w/Copay P-S Silver - PPO
    • Atlas $3,200 Plus Silver - PPO
    • Atlas $3,800 HSA Silver - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
  • Medica

    • Balance by Medica Bronze Copay $0 PCP - EPO
    • Balance by Medica Bronze Premier - EPO
    • Balance by Medica Bronze Share Plus - EPO
    • Balance by Medica Bronze Standard - EPO
    • Balance by Medica Catastrophic - EPO
  • Moda Health Plan, Inc.

    • Moda Health Affinity Bronze 7750 - EPO
    • Moda Health Affinity Bronze 9000 - EPO
    • Moda Health Affinity Bronze HSA 7500 - EPO
    • Moda Health Affinity Gold 1000 - EPO
    • Moda Health Affinity Gold 250 - EPO
  • Moda Health, Inc.

    • Moda Select Bronze 8700 ($0 Virtual Care) - EPO
    • Moda Select Bronze HSA 7500 - EPO
    • Moda Select Gold 1000 ($0 Virtual Care) - EPO
    • Moda Select Gold 1800 ($0 Virtual Care) - EPO
    • Moda Select Silver 3500 ($0 Virtual Care) - EPO
  • Oscar Health Insurance

    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver (Select) - HMO
    • Bronze Classic Standard (Select) - HMO
    • Bronze Elite + PCP Saver Plus (Select) - HMO
    • Bronze Elite + Specialist Saver Plus (Select) - HMO
  • Oscar Health Plan of Georgia

    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver Plus - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
    • Bronze Simple 2 - HMO
  • Oscar Health Plan of North Carolina, Inc

    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
    • Bronze Simple HSA - HMO
  • Oscar Health Plan, Inc.

    • Bronze Classic - HMO
    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 - PPO
    • Bronze Classic 4700 (Choice) - EPO
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
  • Oscar Insurance Corporation of Ohio

    • Bronze Classic - HMO
    • Bronze Classic PCP Saver - HMO
    • Bronze Classic Standard - HMO
    • Bronze Simple - HMO
    • Bronze Simple HSA - HMO
  • Sanford Health Plan

    • Sanford Individual Simplicity $1,750 - PPO
    • Sanford Individual Simplicity $2,800 - PPO
    • Sanford Individual Simplicity $3,500 - PPO
    • Sanford Individual Simplicity $4,750 - PPO
    • Sanford Individual Simplicity $6,000 - PPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN GEORGE BREITNAUER JR. RPH

Authorized Official Title
OWNER/PHARMACIST
Authorized Official Phone
(970) 856-3161

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0214700001MEDICARE ID-TYPE UNSPECIFIED (04)CO 
03000494MEDICAID (05)CO 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20652011
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194897447
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841691448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 9 + 1 + 4 + 4 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1194897447 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194897447, enumerated in the NPI registry as an "organization" on November 14, 2006

The provider is located at 215 W. Main St Cedaredge, Co 81413 and the phone number is (970) 856-3161

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Aetna CVS Health, Avera Health Plans, BannerAetna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.