Organization · Type 2 NPI

JMSP LLC

Pharmacy · Portland, OR

NPI number 1265768774 Active · reactivated Jun 14, 2019

Practice location

10000 SE Main St, Ste 118
Portland, OR 97216-2448

Fax (503) 255-3893

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1265768774
Entity type: Organization (Type 2)
Issued: Oct 19, 2009
Last updated: Jun 14, 2019
Status: Active

Other names

<unavail>
Professional Center 205 Pharmacy · doing business as
Professional Center 205 Pharmacy · doing business as

Authorized official

Matthew Peters
Manager
(702) 203-4797

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265768774

JMSP LLC's National Provider Identifier is 1265768774, issued on Oct 19, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Portland, OR. The record was last updated on Jun 14, 2019.