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CITY DRUG STORE
NPI 1093827909
Pharmacy - Community/Retail Pharmacy in Jacksboro, TX

Active since August 31, 2006
104 E BELKNAP ST, JACKSBORO, TX 76458(940) 567-5576(940) 567-3815 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About City Drug Store NPPES

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

CITY DRUG STORE (NPI 1093827909) is a healthcare organization registered as a community/retail pharmacy in Jacksboro, Texas and active in the NPI registry since August 2006. The organization lists Chandra Renee Vanvacter, Owner, as its authorized official.

NPPES Registry Identity

NPI1093827909
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCITY DRUG STORE OF JACKSBORO, INC
Location Address104 E BELKNAP STJacksboro, TX 76458-2401
Mailing Address104 E Belknap StJacksboro, TX 76458-2401 · (940) 567-5576 · Fax (940) 567-3815
Phone(940) 567-5576
Fax(940) 567-3815
Organization SubpartNo
Authorized OfficialChandra Renee VanvacterOwner · (940) 567-5576
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1093827909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 139
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
104 E BELKNAP ST, Jacksboro, TX 76458
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Other Names 1

Doing Business AsCity Drug Store

Other Identifiers 2

Medicaid120408TX
Other2097943Pk

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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
54 services54 patients
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.
54 services54 patients

Other Providers at the Same Location NPPES 2

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

DR. KALYN QUALLS PHARM.D.
Pharmacist
104 E BELKNAP ST
JACKSBORO, TX 76458
Jack County (940) 567-5576
MR. JAMES RODNEY HAMMOND R.PH.
Pharmacist
104 E BELKNAP ST
JACKSBORO, TX 76458
Jack County (940) 567-5576

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 City Drug Store Of Jacksboro, Inc's NPI number?

The NPI number for City Drug Store Of Jacksboro, Inc is 1093827909. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as City Drug Store.

Where is City Drug Store Of Jacksboro, Inc located?

City Drug Store Of Jacksboro, Inc is located at 104 E Belknap St, Jacksboro, TX 76458. The listed phone number is (940) 567-5576.

What is City Drug Store Of Jacksboro, Inc's specialty?

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

What insurance does City Drug Store Of Jacksboro, Inc 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 56 other insurers list City Drug Store Of Jacksboro, Inc 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 City Drug Store Of Jacksboro, Inc was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.