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JASPER DRUGS LLC NPI 1407829369


NPI Information

NPI: 1407829369
Provider Name: JASPER DRUGS LLC

Doing Business As: JASPER DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 44D2135872

Address:
17 COURTHOUSE SQ
JASPER, TN
ZIP 37347
Phone: (423) 942-5636
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JASPER DRUGS LLC is a community/retail pharmacy pharmacy in Jasper, TN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JASPER DRUGS LLC NPI is 1407829369. The provider is registered as an organization entity type.
The provider Is Doing Business As Jasper Drug.

The provider's business location address is:

17 COURTHOUSE SQ
JASPER, TN
ZIP 37347-531
Phone: (423) 942-5636
Fax: (423) 942-1354

The provider's authorized official is Fred Standefer .
The authorized official title is Owner and has the following contact phone number (423) 447-2134.

The CLIA number assigned to this NPI record is 44D2135872 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 12/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy0466TENNESSEEYes
33336C0004XPharmacyCompounding PharmacyNo
43336M0002XPharmacyMail Order PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14253240001MEDICARE NSC
22095593OTHERPK
31452478MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.