JD and SN Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

CF00056175 Issued in WA

Legal business name

JD AND SN INC

Doing business as

Moses Lake Professional Pharmacy

Practice address

1555 Pilgrim St
Moses Lake, WA 98837-4623

Phone

(509) 764-2314

Fax

(509) 765-8421

NPI assigned

Jan 29, 2007

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

Mrs. Janet Kay Needham, RPH

Title

Owner

Phone

(509) 764-2314

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moses Lake Professional Pharmacy Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679619415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PILGRIM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374623",
            "telephone_number": "509-764-2314",
            "fax_number": "509-765-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PILGRIM ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374623",
            "telephone_number": "509-764-2314",
            "fax_number": "509-765-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD AND SN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-764-2314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "CF00056175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moses Lake Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Oxygen Equipment & Supplies (DME) in Washington

• 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.