Provider Demographics
NPI:1609601590
Name:JP PARTNERS, LLC
Entity type:Organization
Organization Name:JP PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:JADALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-212-2818
Mailing Address - Street 1:5251 CONCOURSE DR STE 2B
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-3081
Mailing Address - Country:US
Mailing Address - Phone:540-212-2818
Mailing Address - Fax:540-212-2815
Practice Address - Street 1:5251 CONCOURSE DR STE 2B
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-3081
Practice Address - Country:US
Practice Address - Phone:540-212-2818
Practice Address - Fax:540-212-2815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy