Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1407907488
Opera House Pharmacy Co Inc
Organization Subpart: NO
Active
NPI Number1407907488
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1407907488
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-01-16
Last Updated2016-10-12
Authorized OfficialEdward Vasquez
PRESIDENT
Phone: 7193842521
Mailing Address223 Colorado Ave, Po Box 377
La Junta, CO 81050-1517
United States
Phone: (719) 384-2521 | Fax: (719) 384-2523
📍 View Map
Primary Practice Address223 Colorado Ave
La Junta, CO 81050-1517
United States
Phone: (719) 384-2521 | Fax: (719) 384-2523
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCO03628500-
Other (non-Medicare)-2000783PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyCO720000007
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About NPI 1407907488

Opera House Pharmacy Co Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1407907488. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in La Junta, CO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407907488?

NPI 1407907488 belongs to Opera House Pharmacy Co Inc, a Pharmacy, Community/Retail Pharmacy in La Junta, CO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407907488 active?

The current status of NPI 1407907488 in the NPPES registry is Active. The record was last updated on 2016-10-12.

What specialty is NPI 1407907488?

NPI 1407907488 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407907488?

You can verify NPI 1407907488 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407907488?

The primary practice address on file for NPI 1407907488 is 223 Colorado Ave, La Junta, CO 81050-1517. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407907488 issued?

NPI 1407907488 was first issued (enumerated) on 2007-01-16. The NPPES record was last updated on 2016-10-12.

Practice Location Map

Opera House Pharmacy Co Inc is located at 223 Colorado Ave, La Junta, CO. Use the map below to find directions or verify the practice location.

📍 223 Colorado Ave, La Junta, CO 81050-1517  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Opera House Pharmacy Co Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1407907488. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy720000007CO
Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162