Organization Active NPI

Johnston Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1477606713
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X
Legal business name
JOHNSTON MEDICAL SUPPLY
Practice address
2105 S 48TH St
#105
Tempe, AZ 85282-1019
Phone
(602) 264-1201
Fax
(602) 264-4970
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Rebecca Louise Holly
Title
Owner
Phone
(602) 264-1201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X Primary
Customized Equipment (DME) 332BC3200X 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X 335E00000X

Addresses

Primary practice location

2105 S 48TH St
#105
Tempe, AZ 85282-1019

Mailing address

2105 S 48TH St
#105
Tempe, AZ 85282-1019
Phone (602) 264-1201

National Provider Directory

National Provider Directory

Locations

2105 S 48th St
Ste 105
Tempe, AZ 85282
Phone (602) 264-1201

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477606713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S 48TH ST",
            "address_2": "#105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821019",
            "telephone_number": "602-264-1201",
            "fax_number": "602-264-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 S 48TH ST",
            "address_2": "#105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821019",
            "telephone_number": "602-264-1201",
            "fax_number": "602-264-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-264-1201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "332B00000X",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": "332BC3200X",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "335E00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.