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Jackisch Drug Store, LLC

Community/Retail Pharmacy in Pagosa Springs, CA · enumerated 2018 · authorized official Todd Antrobus, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790289163

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Registry record

Entity type Organization (Type 2)
Legal business name Jackisch Drug Store, LLC
Practice address 426 Pagosa Street, Pagosa Springs, CA, 81147
Phone (970) 264-4166
Enumeration date Mar 21, 2018
Last updated in NPPES Mar 21, 2018

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Todd Antrobus
Title Owner
Phone (606) 316-2031

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jackisch Drug Store, LLC?
Jackisch Drug Store, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-21.