Jeh-Nissi INC
Pharmacy, Community/Retail Pharmacy in Seffner, FL. Organization (NPI-2).
Details
- NPI
- 1619208568
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeh-Nissi INC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2010
- Certification date
- Aug 5, 2024
- Last updated
- Aug 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | ph24379 | FL | Yes |
Other names
- Prestige Pharmacy (Doing Business As)
Practice location
1357 S Parsons AveSeffner, FL 33584
Phone 813-409-3829 · Fax 813-409-3841
Mailing address
1357 S Parsons AveSeffner, FL 33584
Phone 813-409-3829 · Fax 813-409-3841
Authorized official
Ronald Joseph Burris
Owner/President
8134991980
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Community/Retail Pharmacy providers in Seffner · All 303 providers in Seffner
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