S & J Scooter Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

S & J SCOOTER SUPPLY

Practice address

1058 Lake St
Roselle, IL 60172-3366

Phone

(630) 351-1111

Fax

(630) 351-8828

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley D. Sammons

Title

Ceo

Phone

(630) 351-1111

Specialties & licenses 1

Addresses

Other names 1

• S & J Scooter Supply Doing business as

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386792695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 LAKE ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723366",
            "telephone_number": "630-351-1111",
            "fax_number": "630-351-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 LAKE ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723366",
            "telephone_number": "630-351-1111",
            "fax_number": "630-351-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J SCOOTER SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-351-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & J Scooter Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Roselle, IL
• Providers in Roselle, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.