Organization Active NPI

Johnny the Chairman LLC

  • Durable Medical Equipment & Medical Supplies
  • Largo, FL
National Provider Identifier
1295324903
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOHNNY THE CHAIRMAN LLC
Practice address
2075 E Bay Dr
Largo, FL 33771-2320
Phone
(727) 386-4123
Fax
(727) 245-6155
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Amy Johnson
Title
Vice President
Phone
(727) 386-4123

Specialties & licenses 1

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

Addresses

Primary practice location

2075 E Bay Dr
Largo, FL 33771-2320

Mailing address

2075 E Bay Dr
Largo, FL 33771-2320
Phone (727) 386-4123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220519000282 FL DME Supplier - Medical Supply Company 7618354325 Practice locations: Largo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Johnny the Chairman LLC2075 E Bay Dr, Largo, FL 33771-2320(727) 386-4123 Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manua… Does not accept assignmentParticipating since Mar 16, 2022

National Provider Directory

National Provider Directory

Locations

2075 E Bay Dr
Largo, FL 33771
Phone (727) 386-4123

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1295324903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712320",
            "telephone_number": "727-386-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712320",
            "telephone_number": "727-386-4123",
            "fax_number": "727-245-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY THE CHAIRMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-386-4123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.