How do I get iTunes

You have an iTunes Account.

You are sign in here .  .  .  with your Apple ID & Password.

Your Apple ID is the personal account you use with all Apple products and services. It includes the email address and password you use to sign in, as well as the contact, payment, and security details that you use with Apple.

You can’t merge multiple Apple ID accounts.

What happens when you use the same Apple ID & Password that you use to sign in here?

See the following Apple articles

Sign in with your Apple ID -> Sign in with your Apple ID - Apple Support

Manage and use your Apple ID -> Manage and use your Apple ID – Apple Support (UK)

What do I need to do to get my pictures on iTunes

Do you mean what you need to do to get your pictures on iCloud?