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JB PHARMACY INC NPI 1942365002


NPI Information

NPI: 1942365002
Provider Name: JB PHARMACY INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 06D2237340

Address:
915 W NORTHERN AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 545-1811
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JB PHARMACY INC is a community/retail pharmacy pharmacy in Pueblo, CO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JB PHARMACY INC NPI is 1942365002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

915 W NORTHERN AVE
PUEBLO, CO
ZIP 81004-123
Phone: (719) 545-1811
Fax: (719) 545-3878

The provider's authorized official is Jeanette Marie Burns .
The authorized official title is Manager-owner and has the following contact phone number (719) 545-1811.

The CLIA number assigned to this NPI record is 06D2237340 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 11/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist1040000035COLORADONo
2333600000XPharmacyPDO1040000035COLORADONo
33336C0003XPharmacyCommunity/Retail PharmacyPDO1040000035COLORADOYes
43336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103708781MEDICAIDCOLORADO
2032190001OTHERCOLORADOPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.