Jewett Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17-3 Issued in CO

Legal business name

JEWETT DRUGS INC

Practice address

121 N 16TH St
Canon City, CO 81212-2401

Phone

(719) 275-7466

Fax

(719) 275-4299

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Kent Johnson, RPH

Title

Manager

Phone

(719) 275-7466

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861412330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 16TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122401",
            "telephone_number": "719-275-7466",
            "fax_number": "719-275-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 16TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122401",
            "telephone_number": "719-275-7466",
            "fax_number": "719-275-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWETT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-275-7466",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "17-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "06-01268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0601268",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03451044",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jenifer Burbank, P.C.
• Jet Recovery Behavioral Health LLC
• Jet Recovery LLC
• Jody Pendleton PSYD, LLC
• Deborah Johnson
• Kent Goulding Johnson, RPH
• Helen Ann Jones, R.PH.
• K L Hall DMD PC

• Community/Retail Pharmacy in Canon City, CO
• Providers in Canon City, 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 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.