Provider Demographics
NPI:1396984522
Name:JP AND F INC
Entity type:Organization
Organization Name:JP AND F INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CLODFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-856-2579
Mailing Address - Street 1:422 HWY 29 N
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023
Mailing Address - Country:US
Mailing Address - Phone:704-856-2579
Mailing Address - Fax:704-855-5556
Practice Address - Street 1:422 HIGHWAY 29 N
Practice Address - Street 2:
Practice Address - City:CHINA GROVE
Practice Address - State:NC
Practice Address - Zip Code:28023-0017
Practice Address - Country:US
Practice Address - Phone:704-856-2579
Practice Address - Fax:704-855-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102553336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3413642OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3413642OtherNCPDP PROVIDER IDENTIFICATION NUMBER