JERRY'S PHARMACY LTD NPI 1225199292

NPI Information

  • NPI: 1225199292
  • Provider Name: JERRY'S PHARMACY, LTD
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 2793 MAIN ST
    INGLESIDE, TX
    ZIP 78362
  • Phone: (361) 776-2577

Map and Directions

Get Directions

NPI Details

JERRY'S PHARMACY, LTD is a pharmacy in Ingleside, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. JERRY'S PHARMACY, LTD NPI is 1225199292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2793 MAIN ST
INGLESIDE, TX
ZIP 78362-901
Phone: (361) 776-2577
Fax: (361) 776-0967

The provider's authorized official is Jerry Smolik .
The authorized official title is Pharmacist, Owner and has the following contact phone number (361) 776-2577.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 2/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist23292TEXASNo
2333600000XPharmacy25909TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14536807OTHERNCPDP
2145436MEDICAIDTEXAS
30991560003MEDICARE NSCTEXAS
46103690003MEDICARE NSCTEXAS
50991560003MEDICARE ID-TYPE UNSPECIFIED
6166649701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI