J&G Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J&G MEDICAL SUPPLIES

Practice address

2011 S 25TH St Ste 209
Fort Pierce, FL 34947-4748

Phone

(772) 672-4409

NPI assigned

Nov 14, 2022

Last updated

Jun 8, 2023By 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

Junior Gracia

Title

Manager

Phone

(772) 353-1718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1073221552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 209",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474748",
            "telephone_number": "772-672-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 209",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474748",
            "telephone_number": "772-672-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&G MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "JUNIOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-353-1718"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Pierce, FL
• Providers in Fort Pierce, 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 Jun 8, 2023; 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.