NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Jefferson Pharmacy Inc
Jefferson Pharmacy Inc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kennedy
Managing Member
Last NPPES update
2010-10-26
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 62% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
917 Manor Dr
San Antonio, TX 782283227
Mailing address
917 Manor Dr
San Antonio, TX 782283227
Authorized official
Kevin Kennedy
Managing Member
📞 2108240771
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 4530487 | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 05 (TX) | 144858 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
JEFFERSON PHARMACY
Practice context
Single-site organization. Only one practice location on file.
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