Organization Active NPI

The Med Shop

  • Pharmacy
  • Jefferson, TX
National Provider Identifier
1124116561
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
25114 Issued in TX
Legal business name
THE MED SHOP
Practice address
110 N . Walnut
Jefferson, TX 75657
Phone
(903) 665-2525
Fax
(903) 665-2526
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. George E Teel
Title
Owner
Phone
(903) 639-3508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 25114 TX
Pharmacy 333600000X 25114 TX Primary

Addresses

Primary practice location

110 N . Walnut
Jefferson, TX 75657

Mailing address

110 N Walnut
Jefferson, TX 75657
Phone (903) 665-2525

Other identifiers 1

IdentifierTypeStateIssuer
25114OtherTXPHARMACY

National Provider Directory

National Provider Directory
Tax ID family
The Med Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 N Walnut St
Jefferson, TX 75657
Phone (903) 665-2525

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124116561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N WALNUT",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "75657",
            "telephone_number": "903-665-2525",
            "fax_number": "903-665-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N . WALNUT",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "75657",
            "telephone_number": "903-665-2525",
            "fax_number": "903-665-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MED SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-639-3508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "25114",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "25114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "25114",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.