Organization Active NPI

Johnsons Senior Med Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Eastpointe, MI
National Provider Identifier
1487713459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOHNSONS SENIOR MED SUPPLY CORP
Practice address
18121 East Eight Mile
Suite 110a
East Pointe, MI 48021
Phone
(313) 614-3408
Fax
(586) 772-2719
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Latorria Denise Johnson
Title
Manager Ceo
Phone
(313) 614-3408

Specialties & licenses 1

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

Addresses

Primary practice location

18121 East Eight Mile
Suite 110a
East Pointe, MI 48021

Mailing address

15332 Julianna
East Pointe, MI 48021
Phone (313) 614-3408

National Provider Directory

National Provider Directory

Locations

18121 E 8 Mile Rd
Ste 110A
Eastpointe, MI 48021
Phone (313) 614-3408

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487713459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 JULIANNA",
            "city": "EAST POINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "313-614-3408",
            "fax_number": "586-772-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 EAST EIGHT MILE",
            "address_2": "SUITE 110A",
            "city": "EAST POINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "313-614-3408",
            "fax_number": "586-772-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS SENIOR MED SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LATORRIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER CEO",
        "authorized_official_telephone_number": "313-614-3408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • 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.