Lookup NPI Numbers from the NPI Registry
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1013373679 |
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| LBN Legal business name | JEFFERSON CENTER FOR MENTAL HEALTH | ||||||||||||
| Authorized official | ANDREW VANDER KOOI - (DIRECTOR OF PHARMACY) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/12/2016 | ||||||||||||
| Last updated | 10/20/2025 - About 8 months ago | ||||||||||||
| Identifiers |
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JEFFERSON CENTER FOR MENTAL HEALTH