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Jefferson Pharmacy

Community/Retail Pharmacy in West Sacramento, CA · enumerated 2021 · authorized official Beatle Tran, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699357335

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson Pharmacy
Practice address 1029 Jefferson Blvd Ste A, West Sacramento, CA, 95691
Fax (916) 371-2027
Enumeration date Apr 22, 2021
Last updated in NPPES Apr 22, 2021

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Beatle Tran
Title Ceo

Other identifiers

Identifier Type State Issuer
1691699846774 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-22. Verify at npiregistry.cms.hhs.gov.
Where is Jefferson Pharmacy located?
The practice location on file with NPPES is in West Sacramento, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-22.