Organization Active NPI

JJM Enterprises Inc. , Dba Gem Pharmacy

  • Community/Retail Pharmacy
  • Littleton, CO
National Provider Identifier
1356450134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
370000003 Issued in CO
Legal business name
JJM ENTERPRISES INC. , DBA GEM PHARMACY
Practice address
191 E Orchard Rd
Suite #100
Littleton, CO 80121-8000
Phone
(303) 795-3154
Fax
(303) 795-0406
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth Cook Owen, R.PH.
Title
Owner/Manager
Phone
(303) 795-3154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 370000003 CO Primary

Addresses

Primary practice location

191 E Orchard Rd
Suite #100
Littleton, CO 80121-8000

Mailing address

191 E Orchard Rd
Suite #100
Littleton, CO 80121-8000
Phone (303) 795-3154

Other identifiers 2

IdentifierTypeStateIssuer
0609846OtherCONABP NUMBER
03613502MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356450134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD",
            "address_2": "SUITE #100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218000",
            "telephone_number": "303-795-3154",
            "fax_number": "303-795-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD",
            "address_2": "SUITE #100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218000",
            "telephone_number": "303-795-3154",
            "fax_number": "303-795-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJM ENTERPRISES INC. , DBA GEM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "303-795-3154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "370000003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "0609846",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03613502",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.