Jefferson Drug Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JEFFERSON DRUG PHARMACY

Doing business as

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

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Aigbfoh I, PHARM.D,

Title

Owner

Phone

(443) 540-4597

Specialties & licenses 1

Addresses

Other names 1

• JEFFERSON DRUG PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Aigbefoh

  • Pharmacist
  • Broussard, LA
  • NPI 1114397171
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1104412154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 JEFFERSON BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017206",
            "telephone_number": "337-889-3795",
            "fax_number": "337-889-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 JEFFERSON BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017206",
            "telephone_number": "337-889-3795",
            "fax_number": "337-889-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON DRUG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "AIGBFOH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-540-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PHARM.D,"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON DRUG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JEFFERSON DRUG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanella Cares, LLC
• Edie Marie Jeanlouis Harrison
• Patience Jeanlouis
• Christopher Todd Jeansonne, FNP
• Crystal White Jeansonne, FNP
• Jefferson Pharmacy,LLC
• Jefferson Street Clinic LLC (Jefferson Street Clinic)
• Jefferson Street Primary Care Clinic
• Emmett Jefferson III
• Kelsey R Jefferson

• Community/Retail Pharmacy in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.