MEDICARE: JMRX 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1245071596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMRX LLC

Provider Business Mailing Address
First Line	:	2059 WOOD THRUSH LN
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3165
Country	:	US
Telephone Number	:	848-250-4632
Fax Number	:

Provider Business Practice Location Address
First Line	:	1295 TUSKAWILLA RD STE 1001
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-5032
Country	:	US
Telephone Number	:	407-725-7200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VIRENKUMAR BHIKHABHAI PATEL
Credential	:	PHARMACIST
Telephone Number	:	407-725-7200

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	12/09/2024

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