Healthcare Provider Details

I. General information

NPI: 1134110463
Provider Name (Legal Business Name): JMF, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 03/07/2023
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 1ST AVE S
JAMESTOWN ND
58401-4745
US

IV. Provider business mailing address

703 1ST AVE S
JAMESTOWN ND
58401-4745
US

V. Phone/Fax

Practice location:
  • Phone: 701-252-3002
  • Fax: 701-252-3149
Mailing address:
  • Phone: 701-252-3002
  • Fax: 701-252-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number126
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateND

VIII. Authorized Official

Name: MATTHEW T PERKINS
Title or Position: PRES/OWNER
Credential: PHARMD
Phone: 701-252-3002