Active NPI
C.B.F.M.C. Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Jonesboro, AR
National Provider Identifier
1013201235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- C.B.F.M.C. INC
- Practice address
- 202 E Washington Ave
Jonesboro, AR 72401-3102 - Phone
- (870) 932-0150
- Fax
- (870) 932-0870
- NPI assigned
- Jun 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Ray Sample
- Title
- Director of Operations
- Phone
- (870) 932-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | AR | Primary |
Addresses
Primary practice location
202 E Washington Ave
Jonesboro, AR 72401-3102
Mailing address
202 E Washington Ave
Jonesboro, AR 72401-3102
Phone (870) 932-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190150733 | Medicaid | AR |
Other names 1
- NORTH CENTRAL IV & RESPIRATORY SPECIALISTS, LLC.
National Provider Directory
National Provider Directory- Tax ID family
- Cbfmc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Jonesboro, AR
- NPI 1053605287
-
- Durable Medical Equipment & Medical Supplies
- Mountain Home, AR
- NPI 1982998738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1013201235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013102",
"telephone_number": "870-932-0150",
"fax_number": "870-932-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013102",
"telephone_number": "870-932-0150",
"fax_number": "870-932-0870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.B.F.M.C. INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-06",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "SAMPLE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "870-932-0150",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190150733",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTH CENTRAL IV & RESPIRATORY SPECIALISTS, LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.