Pro-Med of Jonesboro Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRO-MED OF JONESBORO INC

Practice address

300 Carson St
Suite 103
Jonesboro, AR 72401-3104

Phone

(870) 931-0022

Fax

(870) 931-9565

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Greg Brooks

Title

Owner

Phone

(870) 931-0022

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pro-Med of the Jonesboro, Inc

  • Oxygen Equipment & Supplies (DME)
  • Highland, AR
  • NPI 1912182445
  NPPES parent name

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1376633008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARSON ST",
            "address_2": "SUITE 103",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013104",
            "telephone_number": "870-931-0022",
            "fax_number": "870-931-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARSON ST",
            "address_2": "SUITE 103",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013104",
            "telephone_number": "870-931-0022",
            "fax_number": "870-931-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MED OF JONESBORO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-931-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S OF ARKANSAS",
            "identifier": "48932",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Amber Prince, APRN
• Gwendolyn Prior
• Donna Pritchard
• James Anthony Pritchard, D.D.S.
• Stephanie Renee' Privett, PTA
• Kenneth Dean Pruett, APN
• Brooke Nicole Pruitt, ANP
• Kendall Pruitt
• Olwyn Renita Pruitt
• Terrie Pruitt, LPN

• Oxygen Equipment & Supplies (DME) in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Oxygen Equipment & Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.