LJCC Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LJCC SERVICES, LLC

Doing business as

Salida Pharmacy & Fountain

Practice address

137 F Street
Salida, CO 81201

Phone

(719) 530-4790

Fax

(719) 530-4791

NPI assigned

Oct 7, 2019

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lucas Smith, PHARMDNPI 1609283837

Title

Owner

Phone

(719) 460-1465

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Salida Pharmacy & Fountain Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lucas Smith, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Buena Vista, CO
  • NPI 1609283837
  NPD (past) Authorized official
• Emily Frye Henderson

  • Pharmacist
  • Salida, CO
  • NPI 1801178017
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1740821289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 F ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012101",
            "telephone_number": "719-530-4790",
            "fax_number": "719-530-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 F STREET",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "81201",
            "telephone_number": "719-530-4790",
            "fax_number": "719-530-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJCC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-460-1465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF PHARMACY",
            "identifier": "TDPO.0000008",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000178623",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salida Pharmacy & Fountain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salida Pharmacy & Fountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifehouse Medicine, PLLC
• Deborah M Lince, MD
• Lisa M. Vonderhaar, PH.D.,LLC
• Darcie Livingston, RN, BSN
• LJCC Services, LLC (Salida Pharmacy and Fountain)
• Edwin J Loeffel Jr., MD
• Christina Alvord Logan, MS, OTR/L
• Daniel Lombardo, M.D.
• Bruce A Long, D.D.S.
• Maryann Kuzio Longwell, M.S.W.

• Community/Retail Pharmacy in Salida, CO
• Providers in Salida, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.