Pueblo Community Health Center Inc is a Community/Retail Pharmacy (organization) practicing in Pueblo, Colorado. The National Provider Identifier (NPI) is #1790730737, which was assigned on May 24, 2006, and the registration record was last updated on January 14, 2022. The practitioner's main practice location is at 1301 E 7th St, Pueblo, CO 81001; the contact telephone number is 7194760220, and the fax number is 7195455587. The primary taxonomy of Pueblo Community Health Center Inc is Community/Retail Pharmacy (3336C0003X), with specialization in Community/Retail Pharmacy. The authorized official for Pueblo Community Health Center Inc is Justin Mccarthy (Coo). Pueblo Community Health Center Inc is licensed to practice in the state of Colorado (#650).
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.
| NPI | 1790730737 |
| Entity Type | Organization |
| Organization Name | PUEBLO COMMUNITY HEALTH CENTER INC |
| Provider Name | PUEBLO COMMUNITY HEALTH CENTER INC |
| Practice Address |
1301 E 7th St Pueblo CO 81001 |
| Practice Telephone | 7194760220 |
| Practice Fax Number | 7195455587 |
| Mailing Address |
1302 E 5th St Pueblo CO 81001-3754 |
| Mailing Telephone | 7194760220 |
| Mailing Fax Number | 7195455587 |
| Certification Date | 2022-01-12 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2022-01-14 |
| Is Organization Subpart | N |
| Official Name | JUSTIN MCCARTHY |
| Official Title | COO |
| Telephone | 7195438718 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | ||||
| Y | 3336C0003X | Pharmacy | Community/Retail Pharmacy | 650 | CO |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 2003867 | PK | Other | |
| 88408884 | CO | MEDICAID |
| Other Organization Name | Type |
|---|---|
| PUEBLO COMMUNITY HEALTH CENTER PARK HILL | Doing Business As Name |
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| Code | 333600000X |
| Taxonomy | Pharmacy |
| Classification | Pharmacy |
| Grouping | Suppliers |
| Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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|---|---|---|---|
| Brewer Pharmacy Inc | 10619 Guy R Brewer Blvd, Jamaica, NY 11433-2118 | Community/Retail Pharmacy | 2025-09-05 |
| Medsmart Pharmacy 5 LLC | 7445 Clinton Rd, Stedman, NC 28391-8901 | Community/Retail Pharmacy | 2025-09-04 |
| Solmed Rx, LLC | 8659 Nw 36th St, Doral, FL 33166-6621 | Community/Retail Pharmacy | 2025-09-05 |
| Your Community Discount Pharmacy | 1950 Ormond Blvd Ste C-D, Destrehan, LA 70047-3810 | Community/Retail Pharmacy | 2025-09-04 |
| The Oncology Institute Fl, LLC | 6499 38th Ave N Ste H2, St Petersburg, FL 33710-1650 | Community/Retail Pharmacy | 2025-09-04 |
| Bennetts Pharmacy Rx LLC | 990 Sutter Ave, Brooklyn, NY 11208-3534 | Community/Retail Pharmacy | 2025-09-06 |
| Mohammed Alahmadi | 3010 Walton Blvd, Rochester Hills, MI 48309-1264 | Community/Retail Pharmacy | 2025-09-05 |
| Rvohrx, LLC | 105 Stevens Ave Ste 604, Mount Vernon, NY 10550-2683 | Community/Retail Pharmacy | 2025-09-04 |
| Dalal Dawud | 1800 Bienville Dr, Monroe, LA 71201-3765 | Community/Retail Pharmacy | 2025-09-06 |
| Healing Hands Ministries Inc. | 4450 Gus Thomasson Rd Ste 40a, Mesquite, TX 75150-2232 | Community/Retail Pharmacy | 2025-09-03 |
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| Street Address |
1301 E 7TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Erin E Lusher | 1301 E 7th St, Pueblo, CO 81001-3508 | Family Medicine Physician | 2012-07-05 |
| Jessica M Valdez | 1301 E 7th St, Pueblo, CO 81001-3508 | Family Medicine Physician | 2022-04-01 |
| Darcy Victoria- Faye Heim · Darcy Victoria-Faye Olivas | 1301 E 7th St, Pueblo, CO 81001-3508 | Family Nurse Practitioner | 2021-10-25 |
| Aegis Group Practice LLC | 1301 E 7th St, Monticello, MN 55362-8823 | Occupational Therapist | 2025-08-05 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jill Yvette Williams | 5 Royal Troon Ct, Pueblo, CO 81001-1166 | Psychologist | 2009-08-10 |
| Erica Dawn Palacio | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 | Addiction (Substance Use Disorder) Counselor | 2011-12-02 |
| Genoa Healthcare LLC | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | Durable Medical Equipment & Medical Supplies | 2016-08-15 |
| Family Support Center of Colorado, LLC | 801 Desert Flower Blvd, Pueblo, CO 81001-1146 | Occupational Therapist | 2021-07-16 |
| Desiree Autobee | 41 Montebello Rd Ste 120, Pueblo, CO 81001-1366 | Peer Specialist | 2025-01-14 |
| Anthony Brausch | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | Obstetrics & Gynecology Physician | 2020-04-01 |
| Health Solutions | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | Substance Use Disorder Rehabilitation Clinic/Center | 2022-08-17 |
| Health Solutions | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | Substance Use Disorder Rehabilitation Clinic/Center | 2024-03-28 |
| Ericka Standiford | 41 Montebello Rd Ste 120, Pueblo, CO 81001-1366 | Counselor | 2025-01-09 |
| Poudre Valley Medical Group, LLC | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1045 | Obstetrics & Gynecology Physician | 2025-04-18 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Valley Health Partners Community Health Center | 400 N 17th St Ste 300, Allentown, PA 18104-5052 | Family Medicine Physician | 2020-03-11 |
| Aria Community Health Center | 209 C St, Lemoore, CA 93245-2930 | Community/Retail Pharmacy | 2019-04-15 |
| Valley Health Partners Community Health Center | 440 W. Lincoln St., Easton, PA 18042 | Federally Qualified Health Center (FQHC) | 2024-12-04 |
| Aria Community Health Center | 581 W Putnam Ave, Porterville, CA 93257-3260 | Federally Qualified Health Center (FQHC) | 2019-05-17 |
| Banyan Community Health Center, Inc. | 3800 W Flagler St, Coral Gables, FL 33134-1604 | Federally Qualified Health Center (FQHC) | 2014-12-01 |
| Aria Community Health Center | 591 W Putnam Ave, Porterville, CA 93257-3260 | Case Manager/Care Coordinator | 2019-06-17 |
| Sea-Mar Community Health Center | 669 Woodland Square Loop Se, Lacey, WA 98503-1038 | Dental Clinic/Center | 2010-04-01 |
| Pineville Community Health Center Inc | 850 Riverview Ave, Pineville, KY 40977-1452 | Internal Medicine Physician | 2019-06-06 |
| Pueblo of Pojoaque Behavioral Health | 17746 E Frontage Rd, Santa Fe, NM 87506-8750 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2025-02-26 |
| Banyan Community Health Center, Inc. | 140 Nw 59th St, Miami, FL 33127-1218 | Community/Behavioral Health Agency | 2014-07-15 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |