NPIMap

Organization Active NPI

J & B Medical Supply Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Wixom, MI
National Provider Identifier
1629148853
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
BME0145457 Issued in MI
Legal business name
J & B MEDICAL SUPPLY CO INC
Practice address
50496 W Pontiac Trail
Wixom, MI 48393
Phone
(800) 737-0045
Fax
(248) 960-8082
NPI assigned
Nov 8, 2006
Reactivated
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
J & B MEDICAL SUPPLY CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mr. Julian B Shaya
Title
VP
Phone
(800) 737-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X BME0145457 MI Primary

Addresses

Primary practice location

50496 W Pontiac Trail
Wixom, MI 48393

Mailing address

50496 W Pontiac Trail
Wixom, MI 48393
Phone (800) 737-0045

Other identifiers 2

IdentifierTypeStateIssuer
4596947MedicaidMI
5306001467OtherMIBOARD OF PHARMACY MFR&WLH

Other names 1

  • J & B Medical Supply Co Inc DIS Other name

National Provider Directory

National Provider Directory
Tax ID family
JB Medical Supply Co Inc6 organizations share this tax ID, including this one
Part of
JB Medical Supply Co Inc

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1629148853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50496 W PONTIAC TRAIL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "800-737-0045",
            "fax_number": "248-960-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50496 W PONTIAC TRAIL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "48393",
            "telephone_number": "800-737-0045",
            "fax_number": "248-960-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & B MEDICAL SUPPLY CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J & B MEDICAL SUPPLY CO INC",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-04",
        "deactivation_date": "2007-05-10",
        "reactivation_date": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-737-0045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "BME0145457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4596947",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY MFR&WLH",
            "identifier": "5306001467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & B Medical Supply Co Inc DIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.