Purgatory Pharmaceutical Services LLC
NPI 1801582341 · Community/Retail Pharmacy · Monte Vista, CO
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Purgatory Pharmaceutical Services LLC is a Community/Retail Pharmacy organization in Monte Vista, CO (NPI 1801582341).
Provider details
- NPI number
- 1801582341
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ian Mcmullen, Managing Member, Pharmacist(719) 852-9894
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
37 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 19 | $31 |
| Admn Sarscov2 Vacc 1 Dose90480 | 18 | $43 |
Typical Medicare-allowed amounts for these services range $31–$43 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jack'S Market Pharmacy
- Doing business as
- Jack'S Market Pharmacy
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Purgatory Pharmaceutical Services LLC's NPI number?
- Purgatory Pharmaceutical Services LLC's National Provider Identifier (NPI) is 1801582341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purgatory Pharmaceutical Services LLC?
- Purgatory Pharmaceutical Services LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Purgatory Pharmaceutical Services LLC located?
- Purgatory Pharmaceutical Services LLC's practice location on file with NPPES is 222 Solar Ave, Monte Vista, CO 81144-1066.
- What is Purgatory Pharmaceutical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Purgatory Pharmaceutical Services LLC is (719) 852-9894.
- Does Purgatory Pharmaceutical Services LLC accept Medicare?
- Purgatory Pharmaceutical Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Purgatory Pharmaceutical Services LLC?
- The authorized official listed on Purgatory Pharmaceutical Services LLC's NPPES record is Ian Mcmullen, Managing Member, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purgatory Pharmaceutical Services LLC's NPI active?
- Yes — Purgatory Pharmaceutical Services LLC's NPI (1801582341) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.