JB Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PDO1040000035 Issued in CO

Legal business name

JB PHARMACY INC

Practice address

915 W Northern Ave
Pueblo, CO 81004-3123

Phone

(719) 545-1811

Fax

(719) 545-3878

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Jeanette Marie Burns

Title

Manager-Owner

Phone

(719) 545-1811

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Balizan, PHARM D

  • Pharmacist
  • Pueblo West, CO
  • NPI 1104204403
  NPD (past)
• Jasmine Alice Cessna, PHARMD

  • Pharmacist
  • Colorado Springs, CO
  • NPI 1730458134
  NPD (past)
• Richard Keller, PHARMD

  • Pharmacist
  • Pueblo, CO
  • NPI 1861004830
  NPD (past)
• Tera Sisson, PHARMD

  • Pharmacist
  • Pueblo, CO
  • NPI 1700498839
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1942365002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W NORTHERN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043123",
            "telephone_number": "719-545-1811",
            "fax_number": "719-545-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W NORTHERN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043123",
            "telephone_number": "719-545-1811",
            "fax_number": "719-545-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "719-545-1811"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "1040000035",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "PDO1040000035",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "PDO1040000035",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "032190001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03708781",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquline Jaramillo
• Mikayla Jarratt
• Olga Jasina
• Bryant Pinto Javier, DO
• Rose Marie Javornik
• Jeanne Graves
• Jed J Tatsuyama, MD, PC
• Adam Jeffryes, MA, LPC
• Abigail Jenkins, BCABA
• Adam Jennings, PT

• Community/Retail Pharmacy in Pueblo, CO
• Providers in Pueblo, 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 Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.