Active NPI
Johnsons Medical Supply LLC
- Customized Equipment (DME)
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- JOHNSONS MEDICAL SUPPLY LLC
- Practice address
- 31 Oakland Ave
Suite 1B
Pontiac, MI 48342-2019 - Phone
- (248) 758-9813
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Krystal Johnson
- Title
- President
- Phone
- (248) 758-9813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
31 Oakland Ave
Suite 1B
Pontiac, MI 48342-2019
Mailing address
31 Oakland Ave
Suite 1B
Pontiac, MI 48342-2019
Phone (248) 758-9813
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540F332870 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4853463 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Johnsons Medical Supply LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pontiac, MI
- NPI 1932157443
Locations
31 Oakland Ave
Ste B1
Pontiac, MI 48342
Phone (248) 758-9813
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Contractor
- Pontiac, MI
- NPI 1063536571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1720102072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OAKLAND AVE",
"address_2": "SUITE 1B",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422019",
"telephone_number": "248-758-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OAKLAND AVE",
"address_2": "SUITE 1B",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422019",
"telephone_number": "248-758-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSONS MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-758-9813",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540F332870",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4853463",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.