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SALIDA PHARMACY & FOUNTAIN
NPI 1740821289
Pharmacy - Community/Retail Pharmacy in Salida, CO

Active since October 07, 2019CLIA 06D2267623 · Waiver
137 F STREET, SALIDA, CO 81201(719) 530-4790(719) 530-4791 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Jun 5, 2024, Apr 22, 2020 and 1 more (4 updates tracked since 2019).

About Salida Pharmacy & Fountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALIDA PHARMACY & FOUNTAIN (NPI 1740821289) is a healthcare organization registered as a community/retail pharmacy in Salida, Colorado and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through August 28, 2026 and lists Lucas Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1740821289
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLJCC SERVICES, LLC
Location Address137 F STREETSalida, CO 81201
Mailing Address137 F StSalida, CO 81201-2101 · (719) 530-4790 · Fax (719) 530-4791
Phone(719) 530-4790
Fax(719) 530-4791
Organization SubpartNo
Authorized OfficialLucas SmithOwner · (719) 460-1465
Enumeration DateOctober 7, 2019
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1740821289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
137 F STREET, Salida, CO 81201
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Other Names 1

Doing Business AsSalida Pharmacy & Fountain

Other Identifiers 2

Medicaid9000178623CO
OtherTDPO.0000008CO · Colorado State Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2267623

Salida Pharmacy And Fountain · Salida, CO
Active · expires Aug 28, 2026
CLIA Number06D2267623
Laboratory TypePharmacy
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorLucas Smith
Laboratory Phone(719) 530-4790
Laboratory LocationSalida Pharmacy And Fountain137 F Street, Salida, CO 81201
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
96 services96 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
84 services84 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Salida Pharmacy And Fountain carries, from the Medicare DMEPOS supplier directory.

Salida Pharmacy And Fountain

DMEPOS supplier · Salida, COOperated by Ljcc Services LLC
⋮

Does not accept Medicare assignment

Salida Pharmacy And Fountain has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20419109
Medicare Participant SinceNovember 8, 2019
Supplier Location137 F StSalida, CO 81201
Phone(719) 530-4790
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ljcc Services, LLC's NPI number?

The NPI number for Ljcc Services, LLC is 1740821289. It was assigned to this organization in the NPPES registry on October 7, 2019. The provider is doing business as Salida Pharmacy & Fountain.

Where is Ljcc Services, LLC located?

Ljcc Services, LLC is located at 137 F Street, Salida, CO 81201. The listed phone number is (719) 530-4790.

What is Ljcc Services, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ljcc Services, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Salida Pharmacy And Fountain does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Ljcc Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2267623) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ljcc Services, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Ljcc Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ljcc Services, LLC was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.