LANDMARK DRUGS LLC (NPI# 1912051640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912051640 |
| Entity Type | Organization |
| Organization Name | LANDMARK DRUGS LLC |
| Other Organization Name | JACKS MARKET PHARMACY |
| Practice Address |
222 Solar Ave Monte Vista CO 81144-1066 |
| Practice Telephone | 7198529894 |
| Practice Fax Number | 7198529897 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | BRYAN SALAZAR (CO OWNER) |
| Authorized Official Telephone | 7198529894 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
546 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 0618857 | 01 | |
| CO | 06674542 | 05 |
| Other Name | Type Code |
|---|---|
| JACKS MARKET PHARMACY | Doing Business As Name - Organization |
| Street Address |
222 SOLAR AVE |
| City | MONTE VISTA |
| State | CO |
| Zip Code | 81144-1066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316457120 | Jose Antonio Manriquez | Pharmacist | 222 Solar Ave, Monte Vista, CO 81144-1066 | 2017-10-06 |
| 1083144844 | Joline Lobato | Pharmacy | 222 Solar Ave, Monte Vista, CO 81144-1066 | 2017-06-14 |
| 1790902666 | Jimmy Lee Cassity | Pharmacist | 222 Solar Ave, Monte Vista, CO 81144-1066 | 2007-04-20 |
| 1437203601 | Bryan J. Salazar | Pharmacist | 222 Solar Ave, Monte Vista, CO 81144-1066 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598090888 | Michael John Noonan | Physician Assistant | 95-a W. 1st Ave., Rio Grande Medical Center, Monte Vista, CO 81144 | 2009-10-05 |
| 1114085875 | State of Colorado | Skilled Nursing Facility | 3749 Sherman St, Monte Vista, CO 81144 | 2006-12-05 |
| 1336212794 | Sargent School District Re 33j | Local Education Agency (LEA) | 7090 N Rd 2 East, Monte Vista, CO 81144 | 2006-11-15 |
| 1538148085 | Brian Mark Roberts | Dentist | 403 Dunham St, Monte Vista, CO 81144-0403 | 2006-01-12 |
| 1407817497 | Monte Vista Investors, LLC | Assisted Living Facility | 100 Chico Camino St, Monte Vista, CO 81144-1016 | 2006-03-29 |
| 1548269186 | Richard Donald Santi | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2005-07-15 |
| 1386142420 | Joseph A. Lucero | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2018-01-23 |
| 1992167704 | Richard D. Santi, D.d.s., P.C. | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2016-03-22 |
| 1427465178 | Joseph Lucero | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2014-07-15 |
| 1487848065 | Mark J Mills | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2007-08-28 |
| Find all providers in zip 81144 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
| City | MONTE VISTA |
| Zip Code | 81144 |
Please comment or provide details below to improve the information on LANDMARK DRUGS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.