Mabuhay Medical Supply and Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

603170278 Issued in WA

Legal business name

MABUHAY MEDICAL SUPPLY AND EQUIPMENT

Practice address

3333 164TH St SW
Unit 1038
Lynnwood, WA 98087-3150

Phone

(206) 992-8790

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Rogelio Daya Jamero IV

Title

Business Owner

Phone

(206) 992-8790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1245504281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980362328",
            "telephone_number": "206-992-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 164TH ST SW",
            "address_2": "UNIT 1038",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873150",
            "telephone_number": "206-992-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABUHAY MEDICAL SUPPLY AND EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "JAMERO",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_middle_name": "DAYA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "206-992-8790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603170278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.