Jaki Med Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JAKI MED INC

Practice address

598 Indian Trail Rd S
Suite 121
Indian Trail, NC 28079-8689

Phone

(704) 684-0097

Fax

(704) 684-0490

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arnak Ivanov

Title

President

Phone

(704) 684-0097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750358958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 INDIAN TRAIL RD S",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797682",
            "telephone_number": "704-684-0097",
            "fax_number": "704-684-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 INDIAN TRAIL RD S",
            "address_2": "SUITE 121",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798689",
            "telephone_number": "704-684-0097",
            "fax_number": "704-684-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKI MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "ARNAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-684-0097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.