JNM Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JNM MEDICAL LLC

Practice address

95-678 Kelewaa St
Mililani, HI 96789-2936

Phone

(808) 371-3384

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Dillon Waters

Title

Owner

Phone

(808) 675-6190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1801550132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-678 KELEWAA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892936",
            "telephone_number": "808-371-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-678 KELEWAA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892936",
            "telephone_number": "808-371-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-675-6190"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammylynn Jenkins
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• Lisa KT Jicha, LCSW, CSAC
• Juan Jinete
• Ryan Johal, MD
• Aryana Johnson
• Chaunetelle Johnson
• Eiko Johnson, LMT
• Regina Johnson

• Durable Medical Equipment & Medical Supplies in Mililani, HI
• Providers in Mililani, HI by specialty
• Durable Medical Equipment & Medical Supplies in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.