NPIMap

Organization Active NPI

Cjand Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1194349589
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CJAND MEDICAL EQUIPMENT AND SUPPLIES
Doing business as
Cjand Medical Equipment and Supplies
Practice address
12315 Bellaire Blvd Ste 800
Houston, TX 77072-2557
Phone
(409) 350-8167
Fax
(281) 741-9008
NPI assigned
Jun 2, 2020
Last updated
Jun 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Dr. Delphina C Mitima-Samuel, PHDNPI 1427058346
Title
Director
Phone
(409) 350-8167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

12315 Bellaire Blvd Ste 800
Houston, TX 77072-2557

Mailing address

12315 Bellaire Blvd Ste 800
Houston, TX 77072-2557
Phone (409) 350-8167

Other names 1

  • CJAND MEDICAL EQUIPMENT AND SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

12315 Bellaire Blvd
Ste 800
Houston, TX 77072
Phone (409) 350-8167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1194349589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 BELLAIRE BLVD STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722557",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 BELLAIRE BLVD STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722557",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJAND MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MITIMA-SAMUEL",
        "authorized_official_first_name": "DELPHINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-350-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJAND MEDICAL EQUIPMENT AND SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.