Ivywild Pharmacy is an authorized DME supplier for medicare equipments and products.
Ivywild Pharmacy is a Community/Retail Pharmacy in Colorado Springs, Colorado. This pharmacy is owned and operated by Bethel Business Llc. It is located at 311 S Nevada Ave, Colorado Springs and it's customer support contact number is 719-634-5541. The authorized person of Ivywild Pharmacy is Lawrence Bethel, RPH who is Owner of the pharmacy and his contact number is 719-547-7557. Active license number of Ivywild Pharmacy is PDO0240000019 for Community/Retail Pharmacy in Colorado. Ivywild Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Ivywild Pharmacy is 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.
Pharmacy Details:
Ivywild Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Ivywild Pharmacy
Type:
Community/Retail Pharmacy
Location:
311 S Nevada Ave, Colorado Springs, Colorado, 80903-2107
Phone:
719-634-5541
Fax:
719-634-0692
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Lawrence Bethel
Credentials:
RPH
Position:
Owner
Contact Number:
719-547-7557
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1568483519
NPI Enumeration Date:
22 Jul, 2006
NPI Last Update On:
07 Feb, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivywild Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PDO0240000019
Colorado
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Long Term Care Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
64108066
Medicaid
Colorado
03380508
Medicaid
Colorado
2140939
Other
Pk
Medicare Enrollment:
Ivywild Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5698091809
O20150306000267
Bethel Business Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
311 S Nevada Ave, Colorado Springs, Colorado
Zip:
80903-2107
Phone Number:
719-634-5541
Fax Number:
719-634-0692
Patients can reach Ivywild Pharmacy at 311 S Nevada Ave, Colorado Springs, Colorado or can call on customer care at 719-634-5541.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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