JACKISCH DRUG STORE, LLC
NPI 1790289163
Pharmacy - Community/Retail Pharmacy in Pagosa Springs, CA

Q: What is Jackisch Drug Store, LLC's NPI number?

The NPI number for Jackisch Drug Store, LLC is 1790289163. It was assigned to this organization in the NPPES registry on March 21, 2018.

Q: What is Jackisch Drug Store, LLC's specialty?

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

Active since March 21, 2018

426 PAGOSA STREET, PAGOSA SPRINGS, CA 81147(970) 264-4166 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackisch Drug Store, Llc NPPES

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

JACKISCH DRUG STORE, LLC (NPI 1790289163) is a healthcare organization registered as a community/retail pharmacy in Pagosa Springs, California and active in the NPI registry since March 2018. The organization lists Todd Antrobus, Owner, as its authorized official.

NPPES Registry Identity

NPI1790289163

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameJACKISCH DRUG STORE, LLC

Location Address426 PAGOSA STREETPagosa Springs, CA 81147

Mailing Address115 Mills StOlive Hill, KY 41164-6800

Phone(970) 264-4166

Organization SubpartNo

Authorized OfficialTodd AntrobusOwner · (606) 316-2031

Enumeration DateMarch 21, 2018

✔ NPI 1790289163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

426 PAGOSA STREET, Pagosa Springs, CA 81147

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETRA PHARMACY SERVICES, INC.

Pharmacy (Community/Retail Pharmacy)

426 PAGOSA STREET, POB 120
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 264-4166

SELAH MOUNTAIN PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

426 PAGOSA STREET
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 264-0126

PAGOSA P&C INC.

Pharmacy (Community/Retail Pharmacy)

426 PAGOSA STREET
PAGOSA SPRINGS, CO 81147

Archuleta County (970) 264-4166

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 Jackisch Drug Store, LLC's NPI number?

The NPI number for Jackisch Drug Store, LLC is 1790289163. It was assigned to this organization in the NPPES registry on March 21, 2018.

Where is Jackisch Drug Store, LLC located?

Jackisch Drug Store, LLC is located at 426 Pagosa Street, Pagosa Springs, CA 81147. The listed phone number is (970) 264-4166.

What is Jackisch Drug Store, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackisch Drug Store, LLC was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.