Jackson Health Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKSON HEALTH SUPPLIES

Practice address

4741 Central St.
#527
Kansas, MO 64112

Phone

(816) 598-4894

NPI assigned

Aug 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Shahid

Title

Administrator

Phone

(816) 598-4894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033634209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 CENTRAL ST # 527",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121533",
            "telephone_number": "816-598-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CENTRAL ST.",
            "address_2": "#527",
            "city": "KANSAS",
            "state": "MO",
            "postal_code": "64112",
            "telephone_number": "816-598-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEALTH SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-598-4894"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.