Provider Demographics
NPI:1053332007
Name:BGS PHARMACY PARTNERS INC
Entity Type:Organization
Organization Name:BGS PHARMACY PARTNERS INC
Other - Org Name:CONTRACT PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EILENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:719-741-7810
Mailing Address - Street 1:4465 NORTHPARK DR
Mailing Address - Street 2:STE #303
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907
Mailing Address - Country:US
Mailing Address - Phone:719-471-7810
Mailing Address - Fax:719-471-7804
Practice Address - Street 1:4465 NORTHPARK DR
Practice Address - Street 2:STE #303
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907
Practice Address - Country:US
Practice Address - Phone:719-471-7810
Practice Address - Fax:719-471-7804
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BGS PHARMACY PARTNERS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-22
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2400001243336C0004X, 3336H0001X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0618251OtherNCPDP PROVIDER IDENTIFICATION NUMBER
CO62655531Medicaid
CO62655531Medicaid