Organization
JEH-NISSI INC
Active
Other names
Prestige Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOSEPH BURRIS (OWNER/PRESIDENT)
(813) 499-1980
Entity
Organization
Contact information
Practice address
1357 S PARSONS AVE, SEFFNER, FL 33584
(813) 409-3829
(813) 409-3841
Mailing address
1357 S PARSONS AVE, SEFFNER, FL 33584
(813) 409-3829
(813) 409-3841
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002065500
—
FL
01
—
1052593
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/15/2010
Last updated
08/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up