NPIMap

Organization Active NPI

J&B Medical Supply Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Platte City, MO
National Provider Identifier
1316260128
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
L 916824 Issued in MI
Legal business name
J&B MEDICAL SUPPLY CO INC
Practice address
241 Main St.
Platte City, MO 64079
Phone
(816) 858-7016
Fax
(816) 858-7017
NPI assigned
Mar 8, 2010
Organization subpart
Yes
Parent organization
J&B MEDICAL SUPPLY CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Ray J Zak
Title
Contract Adm
Phone
(800) 737-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X L 916824 MI Primary

Addresses

Primary practice location

241 Main St.
Platte City, MO 64079

Mailing address

50496 Pontiac TRL
Wixom, MI 48393-2088
Phone (800) 737-0045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110401000647 MO DME Supplier - Medical Supply Company 7416164777 Practice locations: Platte City, MO

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
J&B Medical Supply Co Inc241 Main St, Platte City, MO 64079-8461(800) 737-0045 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Surgical Dressings Accepts assignmentParticipating since Aug 4, 2003

National Provider Directory

National Provider Directory
Tax ID family
JB Medical Supply Co Inc6 organizations share this tax ID, including this one
Part of
JB Medical Supply Co Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1316260128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50496 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932088",
            "telephone_number": "800-737-0045",
            "fax_number": "800-737-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MAIN ST.",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-858-7016",
            "fax_number": "816-858-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&B MEDICAL SUPPLY CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J&B MEDICAL SUPPLY CO INC",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTRACT ADM",
        "authorized_official_telephone_number": "800-737-0045"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "L 916824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.