JMSP LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

JMSP LLC

Practice address

10000 SE Main St
Ste 118
Portland, OR 97216-2448

Phone

(503) 255-2546

Fax

(503) 255-3893

NPI assigned

Oct 19, 2009

Reactivated

Jun 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Peters

Title

Manager

Phone

(702) 203-4797

Specialties & licenses 1

Addresses

Other names 1

• Professional Center 205 Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1265768774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "STE 118",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-255-2546",
            "fax_number": "503-255-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "STE 118",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-255-2546",
            "fax_number": "503-255-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMSP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2019-06-14",
        "deactivation_date": "2019-02-25",
        "reactivation_date": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-203-4797"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Center 205 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Center 205 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mali Jirasko
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• Bonnie Jiron, PHARMD
• Satta Jivagunchainan
• JM Counseling and Consulting, LLC
• Jo Whitsell LLC
• Monica Emi Jo-Mueller, RPH
• Inha Jo, DO
• Joan B. Baggett, MSW, Inc.
• Joanna K. May

• Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.