Organization Active NPI

Ricky Lee Coleman

Doing business as Jasper County Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Kirbyville, TX
National Provider Identifier
1447522289
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RICKY LEE COLEMAN
Doing business as
Jasper County Medical Supply
Practice address
3148 County Road 480
Kirbyville, TX 75956-4328
Phone
(409) 622-2635
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Alesha Gunter
Title
Office Manager
Phone
(409) 622-2884

Specialties & licenses 1

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

Addresses

Primary practice location

3148 County Road 480
Kirbyville, TX 75956-4328

Mailing address

PO Box 1092
Kirbyville, TX 75956-1092
Phone (409) 622-2635

Other names 1

  • Jasper County Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1447522289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759561092",
            "telephone_number": "409-622-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 COUNTY ROAD 480",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759564328",
            "telephone_number": "409-622-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY LEE COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "ALESHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-622-2884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jasper County Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirbyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.