# JEFFERSON PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487237103
- **Authorized official:** MR. BEATLE T TRAN PHARMD (CEO)
- **Authorized official phone:** (209) 938-9556

## Contact information

- **Practice address:** 1029 JEFFERSON BLVD STE A, WEST SACRAMENTO, CA 95691-3389
- **Practice address phone:** (916) 371-2022
- **Practice address fax:** (916) 371-2027
- **Mailing address:** 1029 JEFFERSON BLVD STE A, WEST SACRAMENTO, CA 95691-3389
- **Mailing address phone:** (916) 371-2022
- **Mailing address fax:** (916) 371-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 04/30/2021