Jespersen Family Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11685 Issued in TX

Legal business name

JESPERSEN FAMILY DRUG INC.

Practice address

302 North Main Street
Duncanville, TX 75116-3651

Phone

(972) 298-4936

Fax

(972) 296-9844

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dan Jespersen, RPHNPI 1376128959

Title

Owner/Pharmacist

Phone

(972) 298-4936

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Ben franklin apothecary Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Wesley Jespersen, R. PH.

  • Pharmacist
  • Duncanville, TX
  • NPI 1376128959
  NPD Authorized official

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1356337117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163651",
            "telephone_number": "972-298-4936",
            "fax_number": "972-296-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NORTH MAIN STREET",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163651",
            "telephone_number": "972-298-4936",
            "fax_number": "972-296-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESPERSEN FAMILY DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "JESPERSEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "972-298-4936",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "11685",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015622601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086683201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LOCAL PART B PN",
            "identifier": "PH0477",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015622603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "506881",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ben franklin apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Jacobs
• Amir S Jalali, MD
• Leon Demont James, DDS
• John D Jeffrey, PSYD
• Jemart Health Care Services Inc
• Dan Wesley Jespersen, R. PH.
• Monique Jeter
• Jets Childcare & Transportation, LLC
• Amii R Johnson, M.S., LAT
• Evelyn Marie Johnson, LPC

• Community/Retail Pharmacy in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.