Individual provider · Type 1 NPI
James L. Jelks Jr., R. PH.
Durable Medical Equipment & Medical Supplies · Centreville, MS
Practice location
149 Main St.
Centreville, MS 39631-0159
Fax (601) 645-6454
Mailing address
PO Box 159
Centreville, MS 39631-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | E-06942 (MS) |
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | 01649 (MS) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1710016233
James L. Jelks Jr., R. PH.'s National Provider Identifier is 1710016233, issued on Mar 2, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Centreville, MS. The record was last updated on Sep 11, 2025.