James R. Pickard

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1075 Whiting Rd
Jordan, NY 13080-9749

Phone

(315) 689-3896

Fax

(315) 689-7280

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1144362575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WHITING RD",
            "city": "JORDAN",
            "state": "NY",
            "postal_code": "130809749",
            "telephone_number": "315-689-3896",
            "fax_number": "315-689-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WHITING RD",
            "city": "JORDAN",
            "state": "NY",
            "postal_code": "130809749",
            "telephone_number": "315-689-3896",
            "fax_number": "315-689-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NY",
            "license": "161165267",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCBS TBI MEDICAID WAIVER",
            "identifier": "02082626",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01639303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "161165267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Volunteer Fire Company Inc
• Jordan-Elbridge Central School District
• Tracey Ann Klock, LPN
• Sarah E O'Neil, MA, CCC-SLP
• Old Erie Emergency Services Inc
• Robin M Pollock, RN
• Wendie Smith, LMT
• Leesa Streeter, RN
• Jessica Ann Strong, RN
• Nichole Marie Topolewski, LPN

• All providers in Jordan, NY
• 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 Sep 30, 2009; 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.