Organization Active NPI

J & P Medical LC

Doing business as J & P Medical

  • Durable Medical Equipment & Medical Supplies
  • University City, MO
National Provider Identifier
1639243645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
17004454 Issued in MO
Legal business name
J & P MEDICAL LC
Doing business as
J & P Medical
Practice address
7586 Olive Blvd
University City, MO 63130-1601
Phone
(314) 863-8633
Fax
(314) 863-8633
NPI assigned
Nov 20, 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
Mr. Daniel J McCullen
Title
Owner
Phone
(314) 514-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 17004454 MO Primary

Addresses

Primary practice location

7586 Olive Blvd
University City, MO 63130-1601

Mailing address

1030 Accent Dr
Saint Louis, MO 63146-5002
Phone (314) 514-9690

Other identifiers 1

IdentifierTypeStateIssuer
1023862OtherMOUHC PROVIDER NUMBER

Other names 1

  • J & P Medical Doing business as

National Provider Directory

National Provider Directory

Locations

7586 Olive Blvd
University City, MO 63130
Phone (314) 863-8633

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639243645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ACCENT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465002",
            "telephone_number": "314-514-9690",
            "fax_number": "314-514-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 OLIVE BLVD",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631301601",
            "telephone_number": "314-863-8633",
            "fax_number": "314-863-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & P MEDICAL LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-514-9690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "17004454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "1023862",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & P Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University City, MO

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.