Organization Active NPI

J&J Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Kent, WA
National Provider Identifier
1619253713
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
60314741621 Issued in WA
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

Updated by the provider on Nov 2, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.