JB PHARMACY INC NPI 1942365002

NPI Information

  • NPI: 1942365002
  • Provider Name: JB PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 06D2237340
  • Address: 915 W NORTHERN AVE
    PUEBLO, CO
    ZIP 81004
  • Phone: (719) 545-1811

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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