Healthcare Provider Details

I. General information

NPI: 1548193543
Provider Name (Legal Business Name): ONEAXIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 OLD HUMBOLDT RD STE A
JACKSON TN
38305-3506
US

IV. Provider business mailing address

15 OLD HUMBOLDT RD STE A
JACKSON TN
38305-3506
US

V. Phone/Fax

Practice location:
  • Phone: 731-633-7272
  • Fax: 731-633-7266
Mailing address:
  • Phone: 731-633-7272
  • Fax: 731-633-7266

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 TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN PAUL PALELIL
Title or Position: OWNER
Credential:
Phone: 731-633-7272