Jefferson Center for Mental Health
NPI 1013373679ActiveOrganization· Pharmacy· Wheat Ridge, CO
Pharmacy in Wheat Ridge, Colorado, registered in NPPES in January 2016. The authorized official on file is Andrew Vander Kooi, PHARMD, Director Of Pharmacy. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1013373679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2016 |
| Last updated in NPPES | Oct 20, 2025 |
| Certified by provider | Oct 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 1680000103 | CO |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (CO) |
|---|
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