{"npi":"1154706554","type":"NPI-2","status":"active","name":{"display":"Poudre Valley Health Care INC","other":[],"organization_name":"POUDRE VALLEY HEALTH CARE INC","authorised_official":"David Thompson"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336S0011X","description":"Specialty Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"CO","license":"PDO31680000097"}]},"addresses":[{"purpose":"LOCATION","street_1":"4630 SNOW MESA DR","city":"FORT COLLINS","state":"CO","postal_code":"805288508","country_code":"US","phone":"9702378140"},{"purpose":"MAILING","street_1":"7901 E LOWRY BLVD","city":"DENVER","state":"CO","postal_code":"802306507","country_code":"US","street_2":"MAIL STOP F402"}],"license":{"state":"CO","number":"PDO31680000097"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"10080252","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2015-07-27","last_updated":"2024-01-04","_meta":{"source":"NPPES","snapshot_date":"2024-01-04","doc_url":"https://findmynpi.com/api"}}