Jefferson Drug Pharmacy
Organization Active NPI Community/Retail Pharmacy · Lafayette, LA
NPI 1104412154 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1104412154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- JEFFERSON DRUG PHARMACY
- Practice address
- 616 Jefferson Blvd
Lafayette, LA 70501-7206 - Phone
- (337) 889-3795
- Fax
- (337) 889-3796
- NPI assigned
- Dec 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Samuel Aigbfoh I, PHARM.D,
- Title
- Owner
- Phone
- (443) 540-4597
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
616 Jefferson Blvd
Lafayette, LA 70501-7206
Mailing address
616 Jefferson Blvd
Lafayette, LA 70501-7206
Phone (337) 889-3795
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2208241 | Medicaid | LA |
Other names
- JEFFERSON DRUG PHARMACY
Other providers in Lafayette, LA
- Jeanella Cares, LLC
- Edie Marie Jeanlouis Harrison
- Patience Jeanlouis
- Christopher Todd Jeansonne
- Crystal White Jeansonne
- Jefferson Pharmacy,LLC
- Jefferson Street Clinic LLC
- Jefferson Street Primary Care Clinic
- Emmett Jefferson III
- Kelsey R Jefferson
All providers in Lafayette, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.