Cedaredge Pharmacy Inc.
Cedaredge Pharmacy Inc. is a healthcare organization registered as Community/Retail Pharmacy in Cedaredge, CO, holding Type 2 (organization) NPI 1194897447 since 2006. The authorized official on file is John Breitnauer, Owner/Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194897447 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cedaredge Pharmacy Inc. |
| Practice address | 215 W. MAIN ST, Cedaredge, CO, 81413 |
| Phone | 9708563161 |
| Fax | 9708563021 |
| Enumeration date | 2006-11-14 |
| Last updated in NPPES | 2017-02-14 |
Authorized official
| Name | John Breitnauer |
|---|---|
| Title | Owner/Pharmacist |
| Phone | 9708563161 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | 20-1 | CO |
| 3336C0003X | Community/Retail Pharmacy | Primary | PDOI200000001 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03000494 | Medicaid | CO | — |
Copy-ready billing details
Provider: Cedaredge Pharmacy Inc. NPI: 1194897447 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 215 W. MAIN ST, Cedaredge, CO, 81413
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003349093 | John Breitnauer | Individual | Pharmacist | Cedaridge, CO |
Verify this record
Cross-check NPI 1194897447 against the authoritative CMS record: view Cedaredge Pharmacy Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Cedaredge Pharmacy Inc.?
What is the NPI number for Cedaredge Pharmacy Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-02-14.