Active NPI
JD & SN Inc
- Oxygen Equipment & Supplies (DME)
- Pasco, WA
National Provider Identifier
1063548352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 601866766
- Legal business name
- JD & SN INC
- Practice address
- 1320 N 4TH Ave
Pasco, WA 99301-3711 - Phone
- (509) 547-5381
- Fax
- (509) 543-4954
- NPI assigned
- Feb 23, 2007
- 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. Shawn William Needham, RPH
- Title
- Owner
- Phone
- (509) 764-2314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 601866766 | WA | Primary |
Addresses
Primary practice location
1320 N 4TH Ave
Pasco, WA 99301-3711
Mailing address
1555 Pilgrim St
Moses Lake, WA 98837-4623
Phone (509) 764-2314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9058157 | Medicaid | WA |
Other names 1
- ADVANCED MEDICAL & RESPIRATORY SUPPLY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1063548352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 PILGRIM ST",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988374623",
"telephone_number": "509-764-2314",
"fax_number": "509-765-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993013711",
"telephone_number": "509-547-5381",
"fax_number": "509-543-4954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JD & SN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "NEEDHAM",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-764-2314",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "WA",
"license": "601866766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9058157",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVANCED MEDICAL & RESPIRATORY SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.