Jackson Furniture Company, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKSON FURNITURE COMPANY, INC.

Practice address

1405 S Jefferson St
Perry, FL 32348-4746

Phone

(850) 584-4543

NPI assigned

Aug 23, 2008

Last updated

Aug 23, 2008By 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

Mr. Thomas Andrew Jackson

Title

President

Phone

(850) 584-4543

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219449600000",
    "number": "1063669810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323484746",
            "telephone_number": "850-584-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323484746",
            "telephone_number": "850-584-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FURNITURE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-584-4543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Howard, LCSW
• Kasey Tuten Hughey, FNP-C, PMHNP-BC
• Julie Ann Hulongbayan, COTA/L
• Samantha Ingle
• Jessica Sarralee Ivey
• Elmira Jackson
• Catharine H Jacob, RN
• Jignesh LLC (Jay's Pharmacy)
• Joel K Shugar MD Inc (Nature Coast Eye Care Institute)
• Joel K Shugar MD PA

• Durable Medical Equipment & Medical Supplies in Perry, FL
• Providers in Perry, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.