Jim Dandy Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0088157 Issued in TX

Legal business name

JIM DANDY MEDICAL INC

Practice address

3562 Knickerbocker Rd
San Angelo, TX 76904-7611

Phone

(325) 949-9956

Fax

(325) 223-2933

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Rosie Ray

Title

President

Phone

(210) 643-1044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1336209501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047611",
            "telephone_number": "325-949-9956",
            "fax_number": "325-223-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047611",
            "telephone_number": "325-949-9956",
            "fax_number": "325-223-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM DANDY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-643-1044"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0088157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Jenks, PHARMD
• Jennifer M Moss
• Thomas S Jeter, MD, DDS
• Tresea M Jeter, FNP-C
• Joshua Jibben, LCDC-I
• Jim W. Collier, Dcpa
• Lydia J Jimenez, MS
• Havalo Kaye Jo Hanson, P.T.
• Joe M Jeffers
• John D. Hunt, M.D.

• Durable Medical Equipment & Medical Supplies in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.