<Unavail>

LBN: Jag Medical Llc
<Unavail> is an health care organization with primary practice located at 2303 Greene Way , Louisville KY 40220-4009. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jag Medical Llc can be contacted via phone (502) 410-0146, or through Logsdon, Ann via phone (502) 410-0146.

Contact Information

Primary practice address
2303 Greene Way Louisville KY 40220-4009
Phone: (502) 410-0146
Fax: (866) 263-2295
Website:
Map and Directions
Authorized official contact:
Name: Logsdon, Ann
Phone: (502) 410-0146

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X P07689 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1871972620
LBN Legal business name Jag Medical Llc
DBA Doing business as <Unavail>
Authorized official Logsdon, Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2015
Last updated Jul 30th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871972620 NPPES
Other 2152022 PK
MEDICAID 7100358700 PK

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