Jackie'S Enterprises Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKIE'S ENTERPRISES INC

Practice address

210 Cornelia St
Suite 105
Plattsburgh, NY 12901-2336

Phone

(518) 869-1100

Fax

(518) 869-1105

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Miss Jacklyn Keto, CFM

Title

President/Owner

Phone

(518) 869-1100

Specialties & licenses 1

Addresses

Other names 1

• HER UNDERTHINGS Doing business as

Tax ID family

Jackie'S Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jackie'S Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • Guilderland, NY
  • NPI 1578957296
  NPD tax ID

Locations

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1073055489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120849517",
            "telephone_number": "518-869-1100",
            "fax_number": "518-869-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 105",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012336",
            "telephone_number": "518-869-1100",
            "fax_number": "518-869-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "KETO",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "518-869-1100",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HER UNDERTHINGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HER UNDERTHINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Health Family Medicine PC
• Insightmoves PT, PLLC
• Mary Lee Ireland
• Roger Ishac, MD
• Aziz Jabbour, D.M.D.
• Amanda Jackson
• Jamie Jacobs, LMHC
• Yamilee Aparecida Jacques, MD
• Farzana Jahangir, MD
• Rajat Jain, M.D

• Durable Medical Equipment & Medical Supplies in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.