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Contact Information

JEH-NISSI INC
1357 S PARSONS AVE
SEFFNER, FL33584
 Phone: 813-409-3829
 Fax: 813-409-3841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JEH-NISSI INC

NPI Number 1619208568
LBN Legal business name JEH-NISSI INC
Authorized official RONALD BURRIS - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2010
Last updated 08/09/2024 - More than a year ago
Identifiers
FL License # PH24379
FL Medicaid 002065500
Other 1052593 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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