MEDICARE: JPM HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy	27815	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2133593	OTHER	PK

General Provider Information

NPI Number	:	1033203682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JPM HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	10113 CHICAGO AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-8254
Country	:	US
Telephone Number	:	806-789-9806
Fax Number	:	855-710-8041

Provider Business Practice Location Address
First Line	:	3436 34TH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-2830
Country	:	US
Telephone Number	:	806-799-3636
Fax Number	:	806-795-4622

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. JIGNA PATEL
Credential	:	PHARMD
Telephone Number	:	806-789-9806

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/19/2020

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Directions to “JPM HEALTHCARE LLC ” Practice Location

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