City Drug Jefferson Texas Inc
Community/Retail Pharmacy
109 W Lafayette St, Jefferson
Texas, 75657-2205
903-665-2521 903-665-7422
City Drug Jefferson Texas Inc is a Community/Retail Pharmacy in Jefferson, Texas. It is located at 109 W Lafayette St, Jefferson and it's customer support contact number is 903-665-2521. The authorized person of City Drug Jefferson Texas Inc is Brian Allen Bates, RPH who is President of the pharmacy and his contact number is 903-665-2521. Active license number of City Drug Jefferson Texas Inc is 00141 for Community/Retail Pharmacy in Texas. City Drug Jefferson Texas Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
City Drug Jefferson Texas Inc is 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.
Pharmacy Details:
City Drug Jefferson Texas Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | City Drug Jefferson Texas Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 109 W Lafayette St, Jefferson,
Texas, 75657-2205 |
| Phone: | 903-665-2521 |
| Fax: | 903-665-7422 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Brian Allen Bates |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 903-665-2521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386699130 |
| NPI Enumeration Date: | 23 May, 2006 |
| NPI Last Update On: | 08 Oct, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for City Drug Jefferson Texas Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 00141 | Texas | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 17946601 | Medicaid | Texas | |
| 120423 | Medicaid | Texas | |
Medicare Enrollment:
City Drug Jefferson Texas Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7911109368 | O20100930034054 | City Drug Jefferson Texas Inc | DME SUPPLIER - PHARMACY |
Products Available:
City Drug Jefferson Texas Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Enteral Nutrients |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Intermittent Positive Pressure Breathing (ippb) Devices |
| • Ostomy Supplies | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Traction Equipment | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Complex Rehabilitative Manual |
| • Wheelchairs & Accessories: Complex Rehabilitative Power | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 856,
Jefferson, Texas |
| Zip: | 75657-0856 |
| Phone Number: | 903-665-2521 |
| Fax Number: | 903-665-7422 |
Patients can reach City Drug Jefferson Texas Inc at
109 W Lafayette St, Jefferson, Texas or can
call on customer care at 903-665-2521.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.