Organization · Type 2 NPI

Jefferson Center for Mental Health

Pharmacy · Wheat Ridge, CO

NPI number 1013373679 Active

Practice location

4851 Independence St
Wheat Ridge, CO 80033-6715

Fax (303) 432-5724

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	1680000103 (CO)
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Long Term Care Pharmacy	3336L0003X	None listed

Pharmacy: 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 lo…

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NPI record

NPI: 1013373679
Entity type: Organization (Type 2)
Issued: Jan 12, 2016
Last updated: Oct 20, 2025
Status: Active

Other names

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Blue Spruce Pharmacy at Independence · doing business as
Blue Spruce Pharmacy at Independence · doing business as

Authorized official

Mr. Andrew Vander Kooi, PharmD
Director of Pharmacy
(303) 432-5725

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013373679

Jefferson Center for Mental Health's National Provider Identifier is 1013373679, issued on Jan 12, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Oct 20, 2025.