Healthcare Provider Details

I. General information

NPI: 1376388470
Provider Name (Legal Business Name): JMJ PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 LAFITTE CT # 101
CHALMETTE LA
70043-4322
US

IV. Provider business mailing address

8321 LAFITTE CT
CHALMETTE LA
70043-4322
US

V. Phone/Fax

Practice location:
  • Phone: 504-344-3617
  • Fax:
Mailing address:
  • Phone: 504-447-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FADY CHARIF
Title or Position: MANAGING MEMBER
Credential:
Phone: 504-344-3617