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PAGOSA SPECIALTY PHARMACY
NPI 1396144200
Pharmacy - Community/Retail Pharmacy in Pagosa Springs, CO

Active since August 15, 2014
426 PAGOSA STREET, POB 120, PAGOSA SPRINGS, CO 81147(970) 264-4166(970) 264-3289 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pagosa Specialty Pharmacy NPPES

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

PAGOSA SPECIALTY PHARMACY (NPI 1396144200) is a healthcare organization registered as a community/retail pharmacy in Pagosa Springs, Colorado and active in the NPI registry since August 2014. The organization lists John D. Kutzko, President, as its authorized official.

NPPES Registry Identity

NPI1396144200
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePETRA PHARMACY SERVICES, INC.
Location Address426 PAGOSA STREET, POB 120Pagosa Springs, CO 81147
Mailing Address426 Pagosa StreetPagosa Springs, CO 81147 · (970) 264-4166 · Fax (970) 264-3289
Phone(970) 264-4166
Fax(970) 264-3289
Organization SubpartNo
Authorized OfficialJohn D. KutzkoPresident · (941) 321-8067
Enumeration DateAugust 15, 2014
✔ NPI 1396144200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CO · 1000000001
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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License 1000000001 (CO)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 1000000001 (CO)
426 PAGOSA STREET, Pagosa Springs, CO 81147
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Other Names 1

Doing Business AsPagosa Specialty Pharmacy

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELAH MOUNTAIN PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
426 PAGOSA STREET
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 264-0126
JACKISCH DRUG STORE, LLC
Pharmacy (Community/Retail Pharmacy)
426 PAGOSA STREET
PAGOSA SPRINGS, CA 81147
Archuleta County (970) 264-4166
PAGOSA P&C INC.
Pharmacy (Community/Retail Pharmacy)
426 PAGOSA STREET
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 264-4166

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 Petra Pharmacy Services, Inc.'s NPI number?

The NPI number for Petra Pharmacy Services, Inc. is 1396144200. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as Pagosa Specialty Pharmacy.

Where is Petra Pharmacy Services, Inc. located?

Petra Pharmacy Services, Inc. is located at 426 Pagosa Street Pob 120, Pagosa Springs, CO 81147. The listed phone number is (970) 264-4166.

What is Petra Pharmacy Services, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Petra Pharmacy Services, Inc. was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.