Active NPI
Wendy Wigmore
Doing business as Jackson Medical Supply
- Durable Medical Equipment & Medical Supplies
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 103834
- Legal business name
- WENDY WIGMORE
- Doing business as
- Jackson Medical Supply
- Practice address
- 506 Main St
Vacaville, CA 95688-3912 - Phone
- (707) 446-7014
- Fax
- (707) 446-1871
- NPI assigned
- Jul 28, 2005
- Last updated
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy A Wigmore, RN
- Title
- Owner
- Phone
- (707) 446-7014
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 103834 | CA | Primary |
Addresses
Primary practice location
506 Main St
Vacaville, CA 95688-3912
Mailing address
506 Main St
Vacaville, CA 95688-3912
Phone (707) 446-7014
Other names 1
- Jackson Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- Jackson Medical Supply
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Jackson Medical Supply
- Durable Medical Equipment & Medical Supplies
- Woodland, CA
- NPI 1427102235
-
dba Jackson Medical Supply
- Durable Medical Equipment & Medical Supplies
- Vallejo, CA
- NPI 1518011329
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.
-
- Durable Medical Equipment & Medical Supplies
- Vacaville, CA
- NPI 1104050491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1245230424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 MAIN ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956883912",
"telephone_number": "707-446-7014",
"fax_number": "707-446-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MAIN ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956883912",
"telephone_number": "707-446-7014",
"fax_number": "707-446-1871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENDY WIGMORE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "WIGMORE",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-446-7014",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "103834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.