Jefferson Center For Mental Health
Pharmacy in Wheat Ridge, CO. Organization (NPI-2).
NPI number1013373679
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1013373679
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson Center For Mental Health
- Organization subpart
- No
- Enumeration date
- Jan 12, 2016
- Certification date
- Oct 20, 2025
- Last updated
- Oct 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 1680000103 | CO | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Blue Spruce Pharmacy At Independence (Doing Business As)
Practice location
4851 Independence StWheat Ridge, CO 80033-6715
Phone 303-432-5725 · Fax 303-432-5724
Mailing address
4851 Independence StWheat Ridge, CO 80033-6715
Phone 303-432-5725 · Fax 303-432-5724
Authorized official
Andrew Vander Kooi
Director Of Pharmacy
3034325725
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacy providers in Wheat Ridge, CO
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.