Jefferson Rx LLC
NPI 1740792449 · Community/Retail Pharmacy · Detroit, MI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Rx LLC is a Community/Retail Pharmacy organization in Detroit, MI (NPI 1740792449).
Provider details
- NPI number
- 1740792449
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Jefferson Management Inc
- Organization subpart
- Yes
- Authorized official
- Candice Tolf, 3rd Party Coordinator(313) 751-7979
- License
- 530101816 (MI)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Knight Drugs - Jefferson
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Jefferson Rx LLC's NPI number?
- Jefferson Rx LLC's National Provider Identifier (NPI) is 1740792449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Rx LLC?
- Jefferson Rx LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jefferson Rx LLC located?
- Jefferson Rx LLC's practice location on file with NPPES is 8367 E Jefferson Ave, Detroit, MI 48214-2730.
- What is Jefferson Rx LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Rx LLC is (313) 925-7890.
- Does Jefferson Rx LLC accept Medicare?
- Jefferson Rx LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jefferson Rx LLC?
- The authorized official listed on Jefferson Rx LLC's NPPES record is Candice Tolf, 3rd Party Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Rx LLC's NPI active?
- Yes — Jefferson Rx LLC's NPI (1740792449) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.