Organization Active NPI

Just Like You Post-Mastectomy and

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, AR
National Provider Identifier
1841226511
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JUST LIKE YOU POST-MASTECTOMY AND
Practice address
2308 Sunny Meadow Dr
Jonesboro, AR 72404-9348
Phone
(870) 933-6296
Fax
(870) 933-6286
NPI assigned
Jun 24, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Mr. David Holmes
Title
Owner
Phone
(870) 933-6296

Specialties & licenses 1

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

Addresses

Primary practice location

2308 Sunny Meadow Dr
Jonesboro, AR 72404-9348

Mailing address

PO Box 16926
Jonesboro, AR 72403-6716
Phone (870) 933-6296

Other identifiers 3

IdentifierTypeStateIssuer
49667OtherARARKANSAS BLUE CROSS
160510716MedicaidAR
626152706MedicaidMO

National Provider Directory

National Provider Directory

Locations

2308 Sunny Meadow Dr
Jonesboro, AR 72404
Phone (870) 933-6296

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1841226511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16926",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036716",
            "telephone_number": "870-933-6296",
            "fax_number": "870-933-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 SUNNY MEADOW DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049348",
            "telephone_number": "870-933-6296",
            "fax_number": "870-933-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST LIKE YOU POST-MASTECTOMY AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-933-6296",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "49667",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160510716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626152706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.