P&J Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4027930 Issued in MN

Legal business name

P&J MEDICAL INC.

Practice address

14450 S Robert TRL Ste 101
Rosemount, MN 55068-4952

Phone

(651) 423-7684

Fax

(651) 423-7170

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Jill Elizabeth Franke

Title

Co-Owner

Phone

(651) 322-7384

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1669559647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 S ROBERT TRL STE 101",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684952",
            "telephone_number": "651-322-7384",
            "fax_number": "651-423-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 S ROBERT TRL STE 101",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684952",
            "telephone_number": "651-423-7684",
            "fax_number": "651-423-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&J MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "FRANKE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-322-7384"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "4027930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS PROVIDER NUMBER",
            "identifier": "121403",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER NUMBER",
            "identifier": "150072",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.