Organization Active NPI

R J and R Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pineville, LA
National Provider Identifier
1649508706
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2810779004 Issued in LA
Legal business name
R J AND R MEDICAL SUPPLY INC.
Practice address
818 Main St
Suite B
Pineville, LA 71360-6409
Phone
(318) 709-5631
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Stephanie Kay Bragg
Title
President
Phone
(318) 715-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2810779004 LA Primary

Addresses

Primary practice location

818 Main St
Suite B
Pineville, LA 71360-6409

Mailing address

818 Main St
Suite B
Pineville, LA 71360-6409
Phone (318) 709-5631

National Provider Directory

National Provider Directory

Locations

818 Main St
Ste B
Pineville, LA 71360
Phone (318) 484-3752

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1649508706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MAIN ST",
            "address_2": "SUITE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606409",
            "telephone_number": "318-709-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MAIN ST",
            "address_2": "SUITE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606409",
            "telephone_number": "318-709-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R J AND R MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-715-1177"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "2810779004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.