Organization Active NPI

KMJ Billings, LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Rogers, AR
National Provider Identifier
1689629149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
332BP3500X Issued in AR
Legal business name
KMJ BILLINGS, LLC
Practice address
7 Halsted Circle
Rogers, AR 72756
Phone
(479) 636-5716
Fax
(479) 636-2080
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacqueline Michele Rose
Title
Managing Member
Phone
(479) 636-5716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 332BP3500X AR Primary

Addresses

Primary practice location

7 Halsted Circle
Rogers, AR 72756

Mailing address

7 Halsted Circle
Rogers, AR 72756
Phone (479) 636-5716

National Provider Directory

National Provider Directory

Locations

7 Halsted Cir
Rogers, AR 72756
Phone (479) 270-9129

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689629149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HALSTED CIRCLE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-636-5716",
            "fax_number": "479-636-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HALSTED CIRCLE",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-636-5716",
            "fax_number": "479-636-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMJ BILLINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-636-5716"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "332BP3500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • 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.