Active NPI
Senior Respiratory Solutions, Inc.
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
National Provider Identifier
1427073246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1000338
- Legal business name
- SENIOR RESPIRATORY SOLUTIONS, INC.
- Practice address
- 3101 Kennedy Lane
Suite 1000
Texarkana, TX 75503-3560 - Phone
- (903) 794-4386
- Fax
- (903) 794-4390
- NPI assigned
- Jul 13, 2006
- 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
- Mrs. Lori S Jackson
- Title
- Ceo/Board of Directors
- Phone
- (903) 794-4386
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1000338 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | 22407 | TX | |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
3101 Kennedy Lane
Suite 1000
Texarkana, TX 75503-3560
Mailing address
3101 Kennedy Lane
Suite 1000
Texarkana, TX 75503-3560
Phone (903) 794-4386
Other identifiers 33
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1270547 | Medicaid | LA | |
| 1427073246 | Medicaid | IA | |
| 1427073246 | Medicaid | NV | |
| 1427073246 | Medicaid | OH | |
| 4613480 | Medicaid | RI | |
| 102559 | Medicaid | AL | |
| 1427073246 | Medicaid | VA | |
| 149415716 | Medicaid | AR | |
| 3810014223 | Medicaid | WV | |
| 4826303 | Medicaid | MI | |
| 989890 | Medicaid | AZ | |
| 30765588 | Medicaid | NH | |
| 4527668 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 584688200 | Medicaid | MN | |
| 6031884 | Medicaid | WA | |
| PH001TX | Medicaid | AK | |
| 157363602 | Medicaid | TX | |
| 200592340A | Medicaid | KS | |
| 4153314 | Medicaid | MS | |
| 4582406 | Medicaid | TN | |
| 808239100 | Medicaid | ID | |
| 1015651 | Medicaid | VT | |
| 1427073246 | Medicaid | SC | |
| 1427073246 | Medicaid | IL | |
| 7824492002 | Medicaid | PA | |
| 82476600 | Medicaid | WI | |
| 1427073246 | Medicaid | CT | |
| 200351090A | Medicaid | IN | |
| 270951 | Medicaid | OR | |
| 433317300 | Medicaid | ME | |
| 1427073246 | Medicaid | MT | |
| 200051030B | Medicaid | OK | |
| 626203905 | Medicaid | MO |
Other names 1
- SENIOR RESPIRATORY SOLUTIONS INC
National Provider Directory
National Provider DirectoryLocations
3101 Kennedy Ln
Ste 1000
Texarkana, TX 75503
Phone (903) 793-0416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315353600000",
"number": "1427073246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 KENNEDY LANE",
"address_2": "SUITE 1000",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033560",
"telephone_number": "903-794-4386",
"fax_number": "903-794-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 KENNEDY LANE",
"address_2": "SUITE 1000",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755033560",
"telephone_number": "903-794-4386",
"fax_number": "903-794-4390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR RESPIRATORY SOLUTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2011-09-07",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO/BOARD OF DIRECTORS",
"authorized_official_telephone_number": "903-794-4386",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "1000338",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "22407",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
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"state": "LA"
},
{
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"state": "IA"
},
{
"code": "05",
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"state": "NV"
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{
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"identifier": "102559",
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"state": "VA"
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"identifier": "149415716",
"state": "AR"
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"identifier": "3810014223",
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"identifier": "989890",
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"identifier": "30765588",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4527668",
"state": null
},
{
"code": "05",
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"identifier": "584688200",
"state": "MN"
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{
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"identifier": "6031884",
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{
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"identifier": "PH001TX",
"state": "AK"
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{
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"identifier": "157363602",
"state": "TX"
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{
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"issuer": null,
"identifier": "200592340A",
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{
"code": "05",
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"identifier": "4153314",
"state": "MS"
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{
"code": "05",
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"issuer": null,
"identifier": "4582406",
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},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808239100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015651",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427073246",
"state": "SC"
},
{
"code": "05",
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"issuer": null,
"identifier": "1427073246",
"state": "IL"
},
{
"code": "05",
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"issuer": null,
"identifier": "7824492002",
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"identifier": "82476600",
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{
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"state": "CT"
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{
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"issuer": null,
"identifier": "200351090A",
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"code": "05",
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"issuer": null,
"identifier": "270951",
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{
"code": "05",
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"issuer": null,
"identifier": "433317300",
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},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427073246",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200051030B",
"state": "OK"
},
{
"code": "05",
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"issuer": null,
"identifier": "626203905",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SENIOR RESPIRATORY SOLUTIONS INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.