Organization Active NPI

RX Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • West Sacramento, CA
National Provider Identifier
1780321042
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RX MEDICAL SUPPLY LLC
Practice address
626 Jefferson Blvd Ste 1
West Sacramento, CA 95691-2740
Phone
(916) 572-0369
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mr. James Anthony Lewis II
Title
Owner
Phone
(707) 373-4681

Specialties & licenses 1

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

Addresses

Primary practice location

626 Jefferson Blvd Ste 1
West Sacramento, CA 95691-2740

Mailing address

626 Jefferson Blvd Ste 1
West Sacramento, CA 95691-2740
Phone (916) 572-0369

National Provider Directory

National Provider Directory

Locations

626 Jefferson Blvd
West Sacramento, CA 95691
Phone (916) 572-0369

626 Jefferson Blvd
Ste 1
West Sacramento, CA 95691
Phone (916) 572-0369

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1780321042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON BLVD STE 1",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912740",
            "telephone_number": "916-572-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 JEFFERSON BLVD STE 1",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912740",
            "telephone_number": "916-572-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-373-4681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.