Provider Demographics
NPI:1770528242
Name:JBM PHARMACY & DISCOUNT
Entity type:Organization
Organization Name:JBM PHARMACY & DISCOUNT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-485-5859
Mailing Address - Street 1:8748 SW 8TH ST
Mailing Address - Street 2:UNIT#5
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3201
Mailing Address - Country:US
Mailing Address - Phone:305-485-5859
Mailing Address - Fax:305-485-5812
Practice Address - Street 1:8748 SW 8TH ST
Practice Address - Street 2:UNIT #5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3201
Practice Address - Country:US
Practice Address - Phone:305-485-5859
Practice Address - Fax:305-485-5812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH20873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5355530002Medicare ID - Type Unspecified