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

Active since November 14, 2006CLIA 06D2317558 · Waiver
215 W. MAIN ST, CEDAREDGE, CO 81413(970) 856-3161(970) 856-3021 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cedaredge Pharmacy Inc. NPPES

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

CEDAREDGE PHARMACY INC. (NPI 1194897447) is a healthcare organization registered as a community/retail pharmacy in Cedaredge, Colorado and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists John George Breitnauer, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1194897447
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCEDAREDGE PHARMACY INC.
Location Address215 W. MAIN STCedaredge, CO 81413
Mailing AddressPo Box 1044Cedaredge, CO 81413-1044 · (970) 856-3161 · Fax (970) 856-3021
Phone(970) 856-3161
Fax(970) 856-3021
Organization SubpartNo
Authorized OfficialJohn George BreitnauerOwner/pharmacist · (970) 856-3161
Enumeration DateNovember 14, 2006
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1194897447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in CO · PDOI200000001✔ Licensed in CO · 20-1
Definition
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.
215 W. MAIN ST, Cedaredge, CO 81413
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Other Identifiers 2

Medicare ID-Type Unspecified0214700001CO
Medicaid03000494CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2317558

Cedaredge Pharmacy · Cedaredge, CO
Active · expires Jan 26, 2027
CLIA Number06D2317558
Laboratory TypePharmacy
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorJohn G. Breitnauer
Laboratory Phone(970) 856-3161
Laboratory LocationCedaredge Pharmacy215 W Main St, Cedaredge, CO 81413
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Cedaredge Pharmacy carries, from the Medicare DMEPOS supplier directory.

Cedaredge Pharmacy

DMEPOS supplier · Cedaredge, COOperated by Cedaredge Pharmacy Inc
✔

Accepts Medicare assignment

Cedaredge Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20652011
Medicare Participant SinceJanuary 1, 1998
Supplier Location215 W Main StCedaredge, CO 81413
Phone(970) 261-4433
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Urological Supplies
Catheters, Urinary collection devices
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Cedaredge Pharmacy Inc.'s NPI number?

The NPI number for Cedaredge Pharmacy Inc. is 1194897447. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Cedaredge Pharmacy Inc. located?

Cedaredge Pharmacy Inc. is located at 215 W. Main St, Cedaredge, CO 81413. The listed phone number is (970) 856-3161.

What is Cedaredge Pharmacy Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Cedaredge Pharmacy Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cedaredge Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Cedaredge Pharmacy Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2317558) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedaredge Pharmacy Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 25 other insurers list Cedaredge Pharmacy Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cedaredge Pharmacy Inc. was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.