Organization Active NPI

GJ&B Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Northport, AL
National Provider Identifier
1659412146
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in AL
Legal business name
GJ&B SERVICES INC
Practice address
2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949
Phone
(205) 333-8801
Fax
(205) 333-8399
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mr. Derek Lamar Collins
Title
Owner
Phone
(205) 333-8801

Specialties & licenses 1

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

Addresses

Primary practice location

2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949

Mailing address

2103 Lurleen B Wallace Blvd
Northport, AL 35476-3949
Phone (205) 333-8801

Other identifiers 3

IdentifierTypeStateIssuer
51541942OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
009912239MedicaidAL
04936718MedicaidMS

National Provider Directory

National Provider Directory

Locations

2103 Lurleen B Wallace Blvd
Northport, AL 35476
Phone (205) 333-8801

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1659412146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 LURLEEN B WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763949",
            "telephone_number": "205-333-8801",
            "fax_number": "205-333-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 LURLEEN B WALLACE BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763949",
            "telephone_number": "205-333-8801",
            "fax_number": "205-333-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJ&B SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-333-8801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51541942",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912239",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04936718",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.