Active NPI
J&J Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Kent, WA
National Provider Identifier
1619253713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 60314741621
- Legal business name
- J&J MEDICAL SUPPLIES
- Practice address
- 24908 107TH Ave SE
Kent, WA 98030-5634 - Phone
- (206) 349-1059
- NPI assigned
- Nov 2, 2011
- 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. Jeremi Baluran Hermano
- Title
- Owner/Manager
- Phone
- (206) 349-1059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 60314741621 | WA | Primary |
Addresses
Primary practice location
24908 107TH Ave SE
Kent, WA 98030-5634
Mailing address
6900 E Green Lake Way N Apt 120
Seattle, WA 98115-5495
Phone (206) 371-3503
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1619253713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 E GREEN LAKE WAY N APT 120",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155495",
"telephone_number": "206-371-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24908 107TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980305634",
"telephone_number": "206-349-1059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J&J MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "HERMANO",
"authorized_official_first_name": "JEREMI",
"authorized_official_middle_name": "BALURAN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "206-349-1059",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "60314741621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.