Organization · Type 2 NPI

Jefferson Center for Mental Health

Community/Retail Pharmacy · Lakewood, CO

NPI number 1861574642 Active

Practice location

9485 W Colfax Ave
Lakewood, CO 80215-3918

Call (303) 432-5925 Map

Fax (303) 432-5935

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	622 (CO)

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 …

109 other providers at this address

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NPI record

NPI: 1861574642
Entity type: Organization (Type 2)
Issued: Oct 20, 2006
Last updated: Oct 20, 2025
Status: Active

Other names

<unavail>
Blue Spruce Pharmacy · doing business as
Blue Spruce Pharmacy · doing business as
Jefferson Center for Mental Health · doing business as

Authorized official

Mr. Andrew Vander Kooi, PharmD
Pharmacy Director
(303) 432-5926

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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 1861574642

Jefferson Center for Mental Health's National Provider Identifier is 1861574642, issued on Oct 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lakewood, CO. The record was last updated on Oct 20, 2025.