CNJ Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CNJ MEDICAL SUPPLY LLC

Practice address

2938 S Main St
Stafford, TX 77477-5532

Phone

(832) 367-3600

Fax

(800) 903-5170

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Cassandra E Fair

Title

Managing Partner

Phone

(713) 253-5084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1003131251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775532",
            "telephone_number": "832-367-3600",
            "fax_number": "800-903-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775532",
            "telephone_number": "832-367-3600",
            "fax_number": "800-903-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNJ MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "713-253-5084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.