Professional Pharmacy LLC
NPI 1013152198ActiveOrganization· Pharmacy· Colorado Springs, CO
Pharmacy in Colorado Springs, Colorado, registered in NPPES in December 2008. The authorized official on file is Ken Waterhouse, Cfo. Medicare paid $7,920 for services to 55 patients in 2024.
Overview
| NPI | 1013152198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2008 |
| Last updated in NPPES | Feb 24, 2022 |
| Certified by provider | Feb 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 754 | CO |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 122 across 6 procedure codes |
| Paid by Medicare | $7,920 |
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