{"npi":"1467580720","type":"NPI-2","status":"active","name":{"display":"High Plains Medical LLC","other":[],"organization_name":"HIGH PLAINS MEDICAL LLC","authorised_official":"Cj Shovlin"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":false,"state":null,"license":null},{"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":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"CO","license":"150000003"}]},"addresses":[{"purpose":"LOCATION","street_1":"314 14TH ST","city":"BURLINGTON","state":"CO","postal_code":"808071608","country_code":"US","phone":"7193468851","fax":"7193467302"},{"purpose":"MAILING","street_1":"PO BOX 1809","city":"GREELEY","state":"CO","postal_code":"806321809","country_code":"US","phone":"9703533316","fax":"9703533316"}],"license":{"state":"CO","number":"150000003"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"64476227","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"0601991","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930048126","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"CO","pac_id":"6103026927"},{"enrlmt_id":"O20231110001157","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"CO","pac_id":"6103026927"}]},"enumeration_date":"2007-03-01","last_updated":"2020-07-17","_meta":{"source":"NPPES","snapshot_date":"2020-07-17","doc_url":"https://findmynpi.com/api"}}