JCB Health and Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12058821274 Issued in TX

Legal business name

JCB HEALTH AND MEDICAL SUPPLY INC

Practice address

4606 Centerview
#101
San Antonio, TX 78228-1214

Phone

(210) 733-7070

Fax

(210) 733-7075

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne Odelugo

Title

President

Phone

(210) 733-7070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659448009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 CENTERVIEW",
            "address_2": "#101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281214",
            "telephone_number": "210-733-7070",
            "fax_number": "210-733-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 CENTERVIEW",
            "address_2": "#101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281214",
            "telephone_number": "210-733-7070",
            "fax_number": "210-733-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCB HEALTH AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODELUGO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-733-7070"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "12058821274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.