Organization Active NPI

Hall-Moore Medical Suppleis, Inc

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, FL
National Provider Identifier
1043205156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1409 Issued in FL
Legal business name
HALL-MOORE MEDICAL SUPPLEIS, INC
Practice address
6539 Powers Ave
Suite 3
Jacksonville, FL 32217-2888
Phone
(904) 731-7212
Fax
(904) 731-5853
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa H Moore
Title
Secretary/Treasurer
Phone
(904) 731-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1409 FL Primary

Addresses

Primary practice location

6539 Powers Ave
Suite 3
Jacksonville, FL 32217-2888

Mailing address

6539 Powers Ave
Suite 3
Jacksonville, FL 32217-2888
Phone (904) 731-7212

Other identifiers 1

IdentifierTypeStateIssuer
1409OtherFLSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

6539 Powers Ave
Ste 3
Jacksonville, FL 32217
Phone (904) 731-7212

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043205156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 POWERS AVE",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172888",
            "telephone_number": "904-731-7212",
            "fax_number": "904-731-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 POWERS AVE",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172888",
            "telephone_number": "904-731-7212",
            "fax_number": "904-731-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL-MOORE MEDICAL SUPPLEIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "904-731-7212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1409",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.