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JEFFERSON PHARMACY
NPI 1265560528
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since March 01, 2007
917 MANOR DR, SAN ANTONIO, TX 78228(210) 734-5133(210) 735-8815 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Pharmacy NPPES

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

JEFFERSON PHARMACY (NPI 1265560528) is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since March 2007. The organization lists Kevin Kennedy, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1265560528
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFERSON PHARMACY INC
Location Address917 MANOR DRSan Antonio, TX 78228-3227
Mailing Address917 Manor DrSan Antonio, TX 78228-3227 · (210) 734-5133 · Fax (210) 735-8815
Phone(210) 734-5133
Fax(210) 735-8815
Organization SubpartNo
Authorized OfficialKevin KennedyManaging Member · (210) 824-0771
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 26, 2010
✔ NPI 1265560528 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 · 06118
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 · Long Term Care PharmacyTaxonomy 3336L0003X
917 MANOR DR, San Antonio, TX 78228
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Other Names 1

Doing Business AsJefferson Pharmacy

Other Identifiers 2

Other4530487Ncpdp Provider Identification Number
Medicaid144858TX

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 Jefferson Pharmacy Inc's NPI number?

The NPI number for Jefferson Pharmacy Inc is 1265560528. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Jefferson Pharmacy.

Where is Jefferson Pharmacy Inc located?

Jefferson Pharmacy Inc is located at 917 Manor Dr, San Antonio, TX 78228. The listed phone number is (210) 734-5133.

What is Jefferson Pharmacy Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Jefferson Pharmacy Inc was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.