Active NPI
Jemani Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Saint Peters, MO
National Provider Identifier
1396974531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JEMANI MEDICAL, LLC
- Practice address
- 140 Jungermann Rd
Saint Peters, MO 63376-1698 - Phone
- (636) 928-0078
- Fax
- (636) 928-0089
- NPI assigned
- Jul 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald E McClellan
- Title
- Owner
- Phone
- (563) 650-0095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
140 Jungermann Rd
Saint Peters, MO 63376-1698
Mailing address
140 Jungermann Rd
Saint Peters, MO 63376-1698
Phone (636) 928-0078
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1396974531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761698",
"telephone_number": "636-928-0078",
"fax_number": "636-928-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761698",
"telephone_number": "636-928-0078",
"fax_number": "636-928-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEMANI MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "MCCLELLAN",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-650-0095",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.