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SELAH MOUNTAIN PHARMACY
NPI 1497211379
Pharmacy - Community/Retail Pharmacy in Pagosa Springs, CO

Active since February 15, 2019
426 PAGOSA STREET, PAGOSA SPRINGS, CO 81147(970) 264-0126(970) 507-6111 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2021, Feb 15, 2019 (2 updates tracked since 2019).

About Selah Mountain Pharmacy NPPES

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

SELAH MOUNTAIN PHARMACY (NPI 1497211379) is a healthcare organization registered as a community/retail pharmacy in Pagosa Springs, Colorado and active in the NPI registry since February 2019. The organization lists John Kutzko, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1497211379
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSELAH MOUNTAIN PHARMACY LLC
Location Address426 PAGOSA STREETPagosa Springs, CO 81147
Mailing AddressPo Box 5949Pagosa Springs, CO 81147-5949 · (970) 264-0126 · Fax (970) 507-6111
Phone(970) 264-0126
Fax(970) 507-6111
Organization SubpartNo
Authorized OfficialJohn KutzkoManaging Member · (941) 321-8067
Enumeration DateFebruary 15, 2019
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1497211379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
426 PAGOSA STREET, Pagosa Springs, CO 81147
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Other Names 1

Doing Business AsSelah Mountain Pharmacy

Other Identifiers 1

Medicaid1497211379CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Selah Mountain Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Selah Mountain Pharmacy LLC

DMEPOS supplier · Pagosa Springs, CO
⋮

Does not accept Medicare assignment

Selah Mountain Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20421263
Medicare Participant SinceMay 14, 2019
Supplier Location426 Pagosa StPagosa Springs, CO 81147
Phone(970) 264-0126
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Osteogenesis Stimulators
Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

PETRA PHARMACY SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
426 PAGOSA STREET, POB 120
PAGOSA SPRINGS, CO 81147
Archuleta County (970) 264-4166
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 Selah Mountain Pharmacy LLC's NPI number?

The NPI number for Selah Mountain Pharmacy LLC is 1497211379. It was assigned to this organization in the NPPES registry on February 15, 2019. The provider is doing business as Selah Mountain Pharmacy.

Where is Selah Mountain Pharmacy LLC located?

Selah Mountain Pharmacy LLC is located at 426 Pagosa Street, Pagosa Springs, CO 81147. The listed phone number is (970) 264-0126.

What is Selah Mountain Pharmacy LLC's specialty?

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

Does Selah Mountain Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Selah Mountain Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Selah Mountain Pharmacy LLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, Medica, Moda Health Plan, Inc. and Providence Health Plan and 1 other insurer list Selah Mountain Pharmacy LLC 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 Selah Mountain Pharmacy LLC was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.