JD Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0054375 Issued in TX

Legal business name

JD MEDICAL SUPPLIES, INC.

Practice address

407 Gilmer Rd
Longview, TX 75604-4622

Phone

(903) 297-5524

Fax

(903) 234-8809

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Gail McBride

Title

Owner

Phone

(903) 297-5524

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1013915198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044622",
            "telephone_number": "903-297-5524",
            "fax_number": "903-234-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 GILMER RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044622",
            "telephone_number": "903-297-5524",
            "fax_number": "903-234-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-297-5524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0054375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148256401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice M. Leonard (Custom Care HCS)
• Jared Jasicki
• Narasimha Sastry Jatavallabhula, MD
• Javen Valerie Cavazos MD PLLC
• David Jayakar, M.D.
• Jeffrey M. Shea, MD, PA (Pulmonary - Critical Care Associates of East Texas)
• Alison Jensen
• Barbara Yantz Jereb, M.S., LPC
• Ronald J. Jereb, PHD
• Patrice L Jernegons, LCDC

• Durable Medical Equipment & Medical Supplies in Longview, TX
• Providers in Longview, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.