Mr James L Jelks Jr, R PH is a
Pharmacy - Community/retail Pharmacy based in Centreville, Mississippi. Mr James L Jelks Jr is licensed to practice in Mississippi (license number 01649) and his current practice location is
149 Main St., Centreville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 645-5411.
NPI number for Mr James L Jelks Jr is 1710016233 and his current mailing address is Po Box 159, Centreville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710016233.
Healthcare Provider's Profile
| Full Name | Mr James L Jelks Jr |
|---|
| Gender | Male |
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| Speciality | Pharmacy - Community/retail Pharmacy |
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| Location | 149 Main St., Centreville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710016233
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr James L Jelks Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710016233 | NPI | - | NPPES |
| 00440293 | Medicaid | MS | |
| 00030372 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E-06942 (Mississippi) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | 01649 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James L Jelks Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James L Jelks Jr, R PH
Po Box 159,
Centreville, MS 39631-0159
Ph: (601) 645-5411 | Mr James L Jelks Jr, R PH
149 Main St.,
Centreville, MS 39631-0159
Ph: (601) 645-5411 |
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