Organization Active NPI

Onisha Perry

Doing business as Johnsons Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
National Provider Identifier
1366609091
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48835 Issued in CA
Legal business name
ONISHA PERRY
Doing business as
Johnsons Medical Supply
Practice address
1330 W Fremont St
Suite 1
Stockton, CA 95203-2636
Phone
(209) 467-7788
Fax
(209) 762-6596
NPI assigned
May 20, 2008
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Onisha Perry
Title
Owner
Phone
(209) 467-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48835 CA Primary

Addresses

Primary practice location

1330 W Fremont St
Suite 1
Stockton, CA 95203-2636

Mailing address

1330 W Fremont St
Suite 1
Stockton, CA 95203-2636
Phone (209) 467-7788

Other names 1

  • JOHNSONS MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

1330 W Fremont St
Ste 1
Stockton, CA 95203
Phone (209) 467-7788

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1366609091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W FREMONT ST",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032636",
            "telephone_number": "209-467-7788",
            "fax_number": "209-762-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W FREMONT ST",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032636",
            "telephone_number": "209-467-7788",
            "fax_number": "209-762-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONISHA PERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ONISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-467-7788"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSONS MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.