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JACK'S MARKET PHARMACY
NPI 1801582341
Pharmacy - Community/Retail Pharmacy in Monte Vista, CO

Active since April 17, 2023
222 SOLAR AVE, MONTE VISTA, CO 81144(719) 852-9894(719) 852-9897 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2023, Jun 4, 2023, May 7, 2023 (3 updates tracked since 2023).

About Jack's Market Pharmacy NPPES

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

JACK'S MARKET PHARMACY (NPI 1801582341) is a healthcare organization registered as a community/retail pharmacy in Monte Vista, Colorado and active in the NPI registry since April 2023. The organization lists Ian Mcmullen, Managing Member, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1801582341
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePURGATORY PHARMACEUTICAL SERVICES LLC
Location Address222 SOLAR AVEMonte Vista, CO 81144-1066
Mailing AddressPo Box 546Crestone, CO 81131-0546 · (719) 852-9894 · Fax (719) 852-9897
Phone(719) 852-9894
Fax(719) 852-9897
Organization SubpartNo
Authorized OfficialIan McmullenManaging Member, Pharmacist · (719) 852-9894
Enumeration DateApril 17, 2023
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1801582341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacyTaxonomy 333600000X
222 SOLAR AVE, Monte Vista, CO 81144
Open in Google Maps ↗

Other Names 1

Doing Business AsJack's Market 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 ›

Areas of Expertise CMS Part B claims 2

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.
19 services19 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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Jack's Market Pharmacy carries, from the Medicare DMEPOS supplier directory.

Jack's Market Pharmacy

DMEPOS supplier · Monte Vista, COOperated by Purgatory Pharmaceutical Services LLC
✔

Accepts Medicare assignment

Jack's Market Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23279923
Medicare Participant SinceApril 29, 2024
Supplier Location222 Solar AveMonte Vista, CO 81144
Phone(719) 852-9894
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
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

MVPS LLC
Pharmacy (Community/Retail Pharmacy)
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (719) 852-9894
DR. JOSE ANTONIO MANRIQUEZ PHARM.D.
Pharmacist
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (719) 852-9894
MR. BRYAN J. SALAZAR R.PH.
Pharmacist
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (719) 852-9894
JIMMY LEE CASSITY RPH
Pharmacist
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (719) 852-9894
MVPS LLC
Pharmacy (Community/Retail Pharmacy)
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (719) 852-9894
DR. IAN CHARLES MCMULLEN PHARM.D., RPH.
Pharmacist
222 SOLAR AVE
MONTE VISTA, CO 81144
Rio Grande County (907) 202-6132

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 Purgatory Pharmaceutical Services LLC's NPI number?

The NPI number for Purgatory Pharmaceutical Services LLC is 1801582341. It was assigned to this organization in the NPPES registry on April 17, 2023. The provider is doing business as Jack's Market Pharmacy.

Where is Purgatory Pharmaceutical Services LLC located?

Purgatory Pharmaceutical Services LLC is located at 222 Solar Ave, Monte Vista, CO 81144. The listed phone number is (719) 852-9894.

What is Purgatory Pharmaceutical Services LLC's specialty?

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

Does Purgatory Pharmaceutical Services LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jack's Market Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Purgatory Pharmaceutical 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 45 other insurers list Purgatory Pharmaceutical 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 Purgatory Pharmaceutical Services LLC was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.