NPIMap

Organization Active NPI

Pee Jay, Inc

  • Durable Medical Equipment & Medical Supplies
  • Saint Cloud, FL
National Provider Identifier
1225256084
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PH0006842 Issued in FL
Legal business name
PEE JAY, INC
Doing business as
Prescriptions Unlimited
Practice address
2521 13TH St
Suite a
Saint Cloud, FL 34769-4119
Phone
(407) 892-7166
Fax
(407) 892-7339
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. Eric J Larson, PHARMDNPI 1447469028
Title
Owner/President
Phone
(407) 892-7166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PH0006842 FL Primary

Addresses

Primary practice location

2521 13TH St
Suite a
Saint Cloud, FL 34769-4119

Mailing address

2521 13TH St
Suite a
Saint Cloud, FL 34769-4119
Phone (407) 892-7166

Other identifiers 3

IdentifierTypeStateIssuer
103859102MedicaidFL
103859100MedicaidFL
019986000MedicaidFL

Other names 1

  • Prescriptions Unlimited Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031001208 FL Part B Supplier - Mass Immunization (Roster Biller Only) 3072630821 Practice locations: Saint Cloud, FL

National Provider Directory

National Provider Directory

Locations

2521 13th St
Ste A
Saint Cloud, FL 34769
Phone (407) 892-7122

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1225256084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 13TH ST",
            "address_2": "SUITE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694119",
            "telephone_number": "407-892-7166",
            "fax_number": "407-892-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH ST",
            "address_2": "SUITE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694119",
            "telephone_number": "407-892-7166",
            "fax_number": "407-892-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE JAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-892-7166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH0006842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103859102",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103859100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019986000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescriptions Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.