Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jefferson Pharmacy Inc

Organization Pharmacy · NPI 1265560528

Jefferson Pharmacy Inc is a Pharmacy in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

917 Manor Dr
San Antonio, TX 78228-3227
Phone: (210) 734-5133
Fax: (210) 735-8815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 06118 (TX)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1265560528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kennedy — Managing Member · (210) 824-0771
Other names Jefferson Pharmacy
NPI enumeratedMarch 1, 2007
Last updated in NPPESOctober 26, 2010
Mailing address917 Manor Dr, San Antonio, TX 78228-3227

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