NPIMap

Organization Active NPI

Majestic Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1063672707
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00880912 Issued in LA
Legal business name
MAJESTIC MEDICAL SUPPLY LLC
Practice address
15254 Old Hammond Hwy Ste B3
Baton Rouge, LA 70816-1275
Phone
(225) 275-2168
Fax
(225) 275-2169
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Selvarine Harvey
Title
Owner
Phone
(225) 275-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00880912 LA Primary

Addresses

Primary practice location

15254 Old Hammond Hwy Ste B3
Baton Rouge, LA 70816-1275

Mailing address

15254 Old Hammond Hwy Ste B3
Baton Rouge, LA 70816-1275
Phone (225) 275-2168

National Provider Directory

National Provider Directory

Locations

15254 Old Hammond Hwy
Ste B3
Baton Rouge, LA 70816
Phone (225) 275-3924

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1063672707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15254 OLD HAMMOND HWY STE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161275",
            "telephone_number": "225-275-2168",
            "fax_number": "225-275-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15254 OLD HAMMOND HWY STE B3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161275",
            "telephone_number": "225-275-2168",
            "fax_number": "225-275-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "SELVARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-275-2168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "00880912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.