S & J Sickroom Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

613 Issued in TN

Legal business name

S & J SICKROOM SUPPLY, INC

Practice address

2400 McCallie Ave
Chattanooga, TN 37404-3301

Phone

(423) 629-7283

Fax

(423) 698-1038

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stanley Nusbaum

Title

Pres/Owner

Phone

(423) 629-7282

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

S and J Discount Drugs2 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.

• SJ Sickroom Supply Inc

  • Pharmacist
  • Chattanooga, TN
  • NPI 1619019650
  NPD tax ID

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790781201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043301",
            "telephone_number": "423-629-7283",
            "fax_number": "423-698-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043301",
            "telephone_number": "423-629-7283",
            "fax_number": "423-698-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J SICKROOM SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUSBAUM",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "423-629-7282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3541588",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Justice Ryan, PHARMD
• Toni B Ryan, NP-C
• Ann H. Rybolt, MD
• Timothy Ryder
• Erin Rymer, LPN
• S & L Healthcare Services
• S&L Adult Day Center
• Michael Dane Saavedra, PHARMD
• Yazan George Saba, D.O.
• Peter Raymond Sabatini, M.D.

• Durable Medical Equipment & Medical Supplies in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• 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.