Organization Active NPI

J&B Medical Supply Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Celina, TX
National Provider Identifier
1831440718
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
L2234704 Issued in MI
Legal business name
J&B MEDICAL SUPPLY CO INC
Practice address
204 E Pecan St
Suite E
Celina, TX 75009-6152
Phone
(972) 382-8410
Fax
(972) 382-8414
NPI assigned
Oct 2, 2012
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Mary E Shaya
Title
Pres/Ceo
Phone
(800) 737-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X L2234704 MI Primary

Addresses

Primary practice location

204 E Pecan St
Suite E
Celina, TX 75009-6152

Mailing address

50496 Pontiac TRL
Wixom, MI 48393-2088
Phone (800) 737-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000639 TX DME Supplier - Medical Supply Company 7416164777 Practice locations: Celina, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
J&B Medical Supply Co Inc204 E Pecan St, Celina, TX 75009-6152(800) 737-0045 Blood Glucose Monitors/Supplies (Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Aug 4, 2003

National Provider Directory

National Provider Directory
Tax ID family
JB Medical Supply Co Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

10824 County Road 44
Leesburg, FL 34788
Phone (352) 357-2415

11240 Northern Ave
Ste 105
Leesburg, FL 34788
Phone (352) 253-2454

50496 Pontiac Trl
Wixom, MI 48393
Phone (800) 737-0045

204 E Pecan St
Ste E
Celina, TX 75009
Phone (800) 737-0045

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1831440718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50496 PONTIAC TRL",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932088",
            "telephone_number": "800-737-0045",
            "fax_number": "800-737-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E PECAN ST",
            "address_2": "SUITE E",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096152",
            "telephone_number": "972-382-8410",
            "fax_number": "972-382-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&B MEDICAL SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "800-737-0045"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "L2234704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.