=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861189615
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JMSAAF,INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2023
-----------------------------------------------------
Last Update Date | 09/29/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2918 SAN JACINTO ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77004-2708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-523-7847
-----------------------------------------------------
Fax | 713-524-5024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2918 SAN JACINTO ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77004-2708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-523-7847
-----------------------------------------------------
Fax | 713-524-5024
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SAHEL SAFFARI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-523-7847
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------