JEFFERSON PHARMACY INC (NPI# 1265560528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265560528 |
| Entity Type | Organization |
| Organization Name | JEFFERSON PHARMACY INC |
| Other Organization Name | JEFFERSON PHARMACY |
| Practice Address |
917 Manor Dr San Antonio TX 78228-3227 |
| Practice Telephone | 2107345133 |
| Practice Fax Number | 2107358815 |
| Mailing Telephone | 2107345133 |
| Mailing Fax Number | 2107358815 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | KEVIN KENNEDY (MANAGING MEMBER) |
| Authorized Official Telephone | 2108240771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
06118 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4530487 | 01 | |
| TX | 144858 | 05 |
| Other Name | Type Code |
|---|---|
| JEFFERSON PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235179771 | Jefferson Pharmacy Inc | Pharmacy | 4892 State Route 52, Jeffersonville, NY 12748-5617 | 2006-06-06 |
| 1437159464 | Jefferson Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 201 S Preston St, Ranson, WV 25438-1628 | 2005-08-01 |
| Street Address |
917 MANOR DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502067 | West Lake Rx LLC | Pharmacy | 1255 Sw Loop 410 Ste 120, San Antonio, TX 78227-1666 | 2020-06-12 |
| 1396381224 | Texas State Pharmacy LLC | Pharmacy | 1314 E Sonterra Blvd Ste 2102, San Antonio, TX 78258-4286 | 2019-11-26 |
| 1538702956 | Zenith Rx, LLC | Pharmacy | 607 S Ww White Rd, San Antonio, TX 78220-1732 | 2019-10-18 |
| 1093366106 | Medcentrix Pharmacy, LLC | Pharmacy | 5720 Bandera Rd Ste 4b, San Antonio, TX 78238-1950 | 2019-09-20 |
| 1821648361 | Pharmacy 2 Plus LLC | Pharmacy | 9026 Culebra Rd Ste 107, San Antonio, TX 78251-2881 | 2019-09-17 |
| 1295381473 | Phyzdata Healthcare Solutions, LLC | Pharmacy | 3602 Paesanos Pkwy # 300a, San Antonio, TX 78231-1277 | 2019-08-14 |
| 1477108595 | Medcentral Pharmacy, LLC | Pharmacy | 8118 Fredericksburg Rd, San Antonio, TX 78229-3312 | 2019-08-06 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1821657149 | Om Healthcare LLC | Pharmacy | 602 Bandera Rd, San Antonio, TX 78228-5203 | 2019-06-10 |
| 1831652296 | San Antonio Arthritis Care Centers Pllc | Pharmacy | 8527 Village Dr Ste 103, San Antonio, TX 78217-5507 | 2019-04-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
Please comment or provide details below to improve the information on JEFFERSON PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.