MEDICARE: JMSAAF,INC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1861189615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMSAAF,INC

Provider Business Mailing Address
First Line	:	2918 SAN JACINTO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2708
Country	:	US
Telephone Number	:	713-523-7847
Fax Number	:	713-524-5024

Provider Business Practice Location Address
First Line	:	2918 SAN JACINTO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2708
Country	:	US
Telephone Number	:	713-523-7847
Fax Number	:	713-524-5024

Authorized Official
Title or Position	:	OWNER
Name	:	SAHEL SAFFARI
Credential	:
Telephone Number	:	713-523-7847

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	09/29/2023

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