MEDICARE: JPWC 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	3336C0003X	Community/Retail Pharmacy	022374400	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2144291	OTHER		PK

General Provider Information

NPI Number	:	1215351077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JPWC LLC

Provider Business Mailing Address
First Line	:	PO BOX 882
Second Line	:
City	:	JACKSON CENTER
State	:	OH
Zip	:	45334-0882
Country	:	US
Telephone Number	:	937-596-8100
Fax Number	:	937-596-8108

Provider Business Practice Location Address
First Line	:	101B E PIKE ST
Second Line	:
City	:	JACKSON CENTER
State	:	OH
Zip	:	45334-6000
Country	:	US
Telephone Number	:	937-596-8100
Fax Number	:	937-596-8108

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALLISON HAAS
Credential	:	PHARMD
Telephone Number	:	937-596-8100

Provider Enumeration Date	:	02/13/2014
Last Update Date	:	09/30/2019

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1063413391 — MRS. BETH NICOLE BUTCHER RPH
Practice Location Address:

101B E PIKE ST
JACKSON CENTER, OH
45334-6000

Practice Phone: 937-596-8100
Practice Fax: 937-596-8108

1851384564 — MRS. CONSTANCE BRODBECK ACCONCIA RPH
Practice Location Address:

101 E PIKE ST
JACKSON CENTER, OH
45334-6000

Practice Phone: 937-596-6621
Practice Fax: 937-596-6637

1760475479 — MR. DAVID PAUL ACCONCIA RPH
Practice Location Address:

101 E PIKE ST
JACKSON CENTER, OH
45334-6000

Practice Phone: 937-596-6621
Practice Fax: 937-596-6637

1558641449 — DR. BRANDON HAAS PHARM. D.
Practice Location Address:

101 E PIKE ST , SUITE B
JACKSON CENTER, OH
45334-6000

Practice Phone: 937-596-8100
Practice Fax: 937-596-8108

1871157305 — DANIELLE ROSE PARKER PHARMD
Practice Location Address:

101B E PIKE ST
JACKSON CENTER, OH
45334-6000

Practice Phone: 937-596-8100
Practice Fax:

Directions to “JPWC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.