Organization Active NPI

Jovic Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1740377068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
TXD0013711 Issued in TX
Legal business name
JOVIC MEDICAL SUPPLY, INC
Practice address
12525 Fondren Rd Ste I
Houston, TX 77035-5226
Phone
(281) 709-3207
Fax
(713) 771-4784
NPI assigned
Oct 6, 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
Amos Gbenjo
Title
President
Phone
(281) 709-3207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TXD0013711 TX Primary

Addresses

Primary practice location

12525 Fondren Rd Ste I
Houston, TX 77035-5226

Mailing address

12525 Fondren Rd Ste I
Houston, TX 77035-5226
Phone (281) 709-3207

National Provider Directory

National Provider Directory

Locations

12525 Fondren Rd
Ste I
Houston, TX 77035
Phone (281) 709-3207

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740377068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 FONDREN RD STE I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770355226",
            "telephone_number": "281-709-3207",
            "fax_number": "713-771-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 FONDREN RD STE I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770355226",
            "telephone_number": "281-709-3207",
            "fax_number": "713-771-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVIC MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GBENJO",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-709-3207"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TXD0013711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

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.