Gary Edward Kirk, DPh
Pharmacist in Canon City, CO. Individual provider (NPI-1).
NPI number1154440477
StatusActive
Last updated in NPPESNov 1, 2026
Details
- NPI
- 1154440477
- Entity type
- Individual (NPI-1)
- Name
- Gary Edward Kirk
- Credential
- DPh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2007
- Certification date
- Aug 30, 2024
- Last updated
- Nov 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | Pha.0022602 | CO | Yes |
Practice location
1703 Fremont DrCanon City, CO 81212-2405
Phone 918-577-2101
Mailing address
1703 Fremont DrCanon City, CO 81212-2405
Phone 918-577-2101
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Pharmacist providers in Canon City · All 907 providers in Canon City
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