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MEDINA PHARMACY, LLC
NPI 1447786900
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since May 03, 2017
5563 DEZAVALA ROAD, SUITE 180, SAN ANTONIO, TX 78249(210) 404-4538(210) 568-6076 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medina Pharmacy, Llc NPPES

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

MEDINA PHARMACY, LLC (NPI 1447786900) is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since May 2017. The organization lists Meagan Jacobs, Pic/managing Member, as its authorized official.

NPPES Registry Identity

NPI1447786900
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDINA PHARMACY, LLC
Location Address5563 DEZAVALA ROAD, SUITE 180San Antonio, TX 78249
Mailing Address5563 Dezavala Road, Suite 180San Antonio, TX 78249 · (210) 404-4538 · Fax (210) 568-6076
Phone(210) 404-4538
Fax(210) 568-6076
Organization SubpartNo
Authorized OfficialMeagan JacobsPic/managing Member · (210) 404-4538
Enumeration DateMay 3, 2017
✔ NPI 1447786900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 31384
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.
5563 DEZAVALA ROAD, San Antonio, TX 78249
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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 Medina Pharmacy, LLC's NPI number?

The NPI number for Medina Pharmacy, LLC is 1447786900. It was assigned to this organization in the NPPES registry on May 3, 2017.

Where is Medina Pharmacy, LLC located?

Medina Pharmacy, LLC is located at 5563 Dezavala Road Suite 180, San Antonio, TX 78249. The listed phone number is (210) 404-4538.

What is Medina Pharmacy, LLC'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 Medina Pharmacy, LLC was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.