Jefferson Pharmacy
LBN: Jefferson Pharmacy Inc
Jefferson Pharmacy is an health care organization with primary practice located at 917 Manor Dr , San Antonio TX 78228-3227. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jefferson Pharmacy Inc can be contacted via phone (210) 734-5133, or through Kennedy, Kevin via phone (210) 824-0771.
Contact Information
Primary practice address
917 Manor Dr
San Antonio TX 78228-3227
Phone: (210) 734-5133
Fax: (210) 735-8815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 06118 | Texas |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1265560528 |
|---|---|
| LBN Legal business name | Jefferson Pharmacy Inc |
| DBA Doing business as | Jefferson Pharmacy |
| Authorized official | Kennedy, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 26th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265560528 | NPPES |
| Other | 4530487 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 144858 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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