Organization Active NPI

JD & SN Inc

  • Oxygen Equipment & Supplies (DME)
  • Pasco, WA
National Provider Identifier
1063548352
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
601866766 Issued in WA
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

Updated by the provider on Aug 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9058157MedicaidWA

Other names 1

  • ADVANCED MEDICAL & RESPIRATORY SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.