Fletcher'S Medical Supplies, Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

FLETCHER'S MEDICAL SUPPLIES, INC.

Doing business as

Fletcher's Tender Care

Practice address

641 W 4TH St
Jacksonville, FL 32209-6624

Phone

(904) 387-4481

Fax

(866) 381-7235

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William David Fletcher

Title

President/Owner

Phone

(904) 387-4481

Specialties & licenses 1

Addresses

Other names 1

• Fletcher's Tender Care Doing business as

Tax ID family

Fletcher Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fletcher'S Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1457348807
  NPD tax ID
• Fletcher'S Tendercare

  • Pediatric Skilled Nursing Facility
  • Jacksonville, FL
  • NPI 1962690297
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zhaytria Moorer

  • Behavior Technician
  • Jacksonville, FL
  • NPI 1295498327
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1780139741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 DISTRIBUTION AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562742",
            "telephone_number": "904-387-4481",
            "fax_number": "866-381-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 4TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096624",
            "telephone_number": "904-387-4481",
            "fax_number": "866-381-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER'S MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-387-4481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher's Tender Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Fletcher
• Kimberly Anne Fletcher, APRN
• Michael Fletcher, MD
• Morgen Rachel Fletcher, PA-C
• Fletcher'S Medical Supplies, Inc.
• Fletcher'S Tender Care, LLC
• Fletcher'S Tender Care, LLC
• Fletcher'S Tendercare
• Rose Junie J Fleuridor, FNP
• Linda E Flickinger, APRN

• Pediatric Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.