M-Star Enterprises, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

M-STAR ENTERPRISES, INC

Doing business as

J&W Medical Supply

Practice address

602 W Kathryn St
Nixa, MO 65714-8462

Phone

(417) 725-6295

Fax

(417) 724-8450

NPI assigned

Jan 4, 2008

Last updated

May 30, 2008By 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

Mr. David G McCalley

Title

President

Phone

(417) 725-6295

Specialties & licenses 1

Addresses

Other names 1

• J&W Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1871778175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W KATHRYN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148462",
            "telephone_number": "417-725-6295",
            "fax_number": "417-724-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W KATHRYN ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148462",
            "telephone_number": "417-725-6295",
            "fax_number": "417-724-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-STAR ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MCCALLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-725-6295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J&W Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eve Lopez
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• Gregory Lloyd Lyford, MD
• Timothy Patrick Lyons, LPC
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• Haven Macfee, PA-C
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• Eliada Mailat
• Martha J Malone-Gilbert

• Durable Medical Equipment & Medical Supplies in Nixa, MO
• Providers in Nixa, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.