Organization Active NPI

Capitol Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
National Provider Identifier
1629140231
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
02928111 Issued in MS
Legal business name
CAPITOL MEDICAL SUPPLY, INC
Practice address
2800 N State St
Jackson, MS 39216-4305
Phone
(601) 981-0120
NPI assigned
Nov 15, 2006
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Ms. Janet K Sumrall
Title
Vice President
Phone
(601) 981-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02928111 MS Primary

Addresses

Primary practice location

2800 N State St
Jackson, MS 39216-4305

Mailing address

2800 N State St
Jackson, MS 39216-4305
Phone (601) 981-0120

National Provider Directory

National Provider Directory
Tax ID family
Capitol Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 N State St
Jackson, MS 39216
Phone (601) 981-0120

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1629140231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164305",
            "telephone_number": "601-981-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164305",
            "telephone_number": "601-981-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "SUMRALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-981-0120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "02928111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.