MEDICARE: JESPERSEN FAMILY DRUG INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	11685	TX
2	3336C0003X	Community/Retail Pharmacy	11685	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	PH0477	OTHER	TX	MEDICARE LOCAL PART B PN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	506881	OTHER	TX	BLUE CROSS BLUESHIELD

General Provider Information

NPI Number	:	1356337117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESPERSEN FAMILY DRUG INC.

Provider Business Mailing Address
First Line	:	302 N MAIN ST
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-3651
Country	:	US
Telephone Number	:	972-298-4936
Fax Number	:	972-296-9844

Provider Business Practice Location Address
First Line	:	302 NORTH MAIN STREET
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75116-3651
Country	:	US
Telephone Number	:	972-298-4936
Fax Number	:	972-296-9844

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. DAN JESPERSEN
Credential	:	RPH
Telephone Number	:	972-298-4936

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	03/22/2013

Similar Medicare Providers

1376128959 — DAN WESLEY JESPERSEN R. PH.
Practice Location Address:

302 N MAIN ST
DUNCANVILLE, TX
75116-3651

Practice Phone: 972-298-4936
Practice Fax: 972-296-9844

1942515275 — CAMP WISDOM ROAD DENTISTRY, PA
Practice Location Address:

319 W CAMP WISDOM RD
DUNCANVILLE, TX
75116-3332

Practice Phone: 972-642-2423
Practice Fax: 972-642-2571

1619809951 — A TEXAS HAND
Practice Location Address:

308 E CAMP WISDOM RD
DUNCANVILLE, TX
75116-2767

Practice Phone: 940-231-1410
Practice Fax:

1669304630 — POSITIVE TOUCH THERAPY LLC
Practice Location Address:

214 S MAIN ST STE 101D
DUNCANVILLE, TX
75116-4765

Practice Phone: 469-386-8446
Practice Fax:

1194727289 — SURGERY CENTER OF DUNCANVILLE, LP
Practice Location Address:

1018 E WHEATLAND RD
DUNCANVILLE, TX
75116-4914

Practice Phone: 972-296-6912
Practice Fax: 972-296-1387

1922008309 — LARRY A DUNN DDS PC
Practice Location Address:

541 W WHEATLAND RD
DUNCANVILLE, TX
75116-4515

Practice Phone: 972-298-4677
Practice Fax:

Directions to “JESPERSEN FAMILY DRUG INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.