Organization Active NPI

MCMJ Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brownsville, TX
National Provider Identifier
1790741643
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000045 Issued in TX
Legal business name
MCMJ INC.
Practice address
2686 W Alton Gloor Blvd
Suite 2
Brownsville, TX 78520-4054
Phone
(956) 542-6400
Fax
(956) 542-6401
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Mr. Edward Bustos
Title
Owner
Phone
(956) 542-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000045 TX Primary

Addresses

Primary practice location

2686 W Alton Gloor Blvd
Suite 2
Brownsville, TX 78520-4054

Mailing address

2686 W Alton Gloor Blvd
Suie 2
Brownsville, TX 78520-4054
Phone (956) 542-6400

Other identifiers 1

IdentifierTypeStateIssuer
176568701MedicaidTX

Other names 1

  • Reliable Medical Equipment & Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MCMJ Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2686 W Alton Gloor Blvd
Ste 2
Brownsville, TX 78520
Phone (956) 350-2844

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1790741643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 W ALTON GLOOR BLVD",
            "address_2": "SUIE 2",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204054",
            "telephone_number": "956-542-6400",
            "fax_number": "956-542-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 W ALTON GLOOR BLVD",
            "address_2": "SUITE 2",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204054",
            "telephone_number": "956-542-6400",
            "fax_number": "956-542-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-542-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176568701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliable Medical Equipment & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.