Jasper Drug

LBN: Jasper Drugs Llc
Jasper Drug is an health care organization with primary practice located at 17 Courthouse Sq , Jasper TN 37347-3531. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jasper Drugs Llc can be contacted via phone (423) 942-5636, or through Standefer, Fred via phone (423) 447-2134.

Contact Information

Primary practice address
17 Courthouse Sq Jasper TN 37347-3531
Phone: (423) 942-5636
Fax: (423) 942-1354
Website:
Map and Directions
Authorized official contact:
Name: Standefer, Fred
Phone: (423) 447-2134

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0466 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1407829369
LBN Legal business name Jasper Drugs Llc
DBA Doing business as Jasper Drug
Authorized official Standefer, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 13th, 2016 - about 10 years 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 1407829369 NPPES
Other 2095593 PK
MEDICAID 1452478 PK

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