NPIMap

Organization Active NPI

Blende Drug Inc

  • Primary Care Clinic/Center
  • Pueblo, CO
National Provider Identifier
1275336174
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BLENDE DRUG INC
Practice address
1910 Santa Fe Dr
Pueblo, CO 81006-1452
Phone
(719) 542-2477
Fax
(719) 544-4469
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Joseph Cernac Sr., RPH
Title
Pic/President
Phone
(719) 542-2477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1910 Santa Fe Dr
Pueblo, CO 81006-1452

Mailing address

1910 Santa Fe Dr
Pueblo, CO 81006-1452
Phone (719) 542-2477

Other identifiers 1

IdentifierTypeStateIssuer
03094299MedicaidCO

Other names 1

  • Blende Drug Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Blende Drug Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1275336174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SANTA FE DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061452",
            "telephone_number": "719-542-2477",
            "fax_number": "719-544-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SANTA FE DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061452",
            "telephone_number": "719-542-2477",
            "fax_number": "719-544-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "CERNAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "719-542-2477",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03094299",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blende Drug",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.