Organization Active NPI

Beverly Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Peabody, MA
National Provider Identifier
1811092208
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in MA
Legal business name
BEVERLY MEDICAL SUPPLIES INC
Practice address
5 Elm St
Peabody, MA 01960-4405
Phone
(978) 922-1022
Fax
(978) 595-5367
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Stephen John Jalbert
Title
President
Phone
(978) 922-1022

Specialties & licenses 1

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

Addresses

Primary practice location

5 Elm St
Peabody, MA 01960-4405

Mailing address

5 Elm St
Peabody, MA 01960-4405
Phone (978) 922-1022

Other identifiers 1

IdentifierTypeStateIssuer
1540599MedicaidMA

Other names 1

  • BEVERLY SURGICAL SUPPLIES INC Doing business as

National Provider Directory

National Provider Directory

Locations

5 Elm St
Peabody, MA 01960
Phone (978) 922-1022

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1811092208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELM ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604405",
            "telephone_number": "978-922-1022",
            "fax_number": "978-595-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ELM ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604405",
            "telephone_number": "978-922-1022",
            "fax_number": "978-595-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "JALBERT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-1022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540599",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY SURGICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.