Provider Demographics
NPI:1871267575
Name:JPM PHARMACIES
Entity Type:Organization
Organization Name:JPM PHARMACIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:812-422-8255
Mailing Address - Street 1:3408 N 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-3302
Mailing Address - Country:US
Mailing Address - Phone:812-422-8255
Mailing Address - Fax:812-422-6329
Practice Address - Street 1:3408 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-3302
Practice Address - Country:US
Practice Address - Phone:812-422-8255
Practice Address - Fax:812-422-6329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy