Beajak Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BEAJAK INC.

Practice address

11363 San Jose Blvd
Ste. 103
Jacksonville, FL 32223-7957

Phone

(904) 268-1604

Fax

(904) 268-1605

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David P. Barker

Title

Director

Phone

(904) 268-1604

Specialties & licenses 1

Addresses

Other names 1

• IHRS Doing business as

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1306079207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD",
            "address_2": "STE. 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237957",
            "telephone_number": "904-268-1604",
            "fax_number": "904-268-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD",
            "address_2": "STE. 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237957",
            "telephone_number": "904-268-1604",
            "fax_number": "904-268-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAJAK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-268-1604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHRS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.