Provider Demographics
NPI:1538335815
Name:JAMPEM ENTERPISE LTD
Entity type:Organization
Organization Name:JAMPEM ENTERPISE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:EMEAKOROHA
Authorized Official - Middle Name:
Authorized Official - Last Name:OPHELIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-378-4450
Mailing Address - Street 1:8503 GULF FWY
Mailing Address - Street 2:STE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-5086
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8503 GULF FWY
Practice Address - Street 2:STE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-5086
Practice Address - Country:US
Practice Address - Phone:713-378-4450
Practice Address - Fax:713-378-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX262783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4548218OtherOTHER ID NUMBER