J. Pen Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00484 Issued in NC

Legal business name

J. PEN MEDICAL, INC.

Practice address

135 S Main St
Marion, NC 28752-4548

Phone

(828) 652-1989

Fax

(828) 652-8990

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Jacob Mark NygaardNPI 1235330077

Title

Sec/Tres

Phone

(828) 652-1989

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob M Nygaard, C.PED

  • Other Specialist/Technologist
  • Marion, NC
  • NPI 1235330077
  NPD (past) Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1922009323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287520975",
            "telephone_number": "828-652-1989",
            "fax_number": "828-652-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S MAIN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524548",
            "telephone_number": "828-652-1989",
            "fax_number": "828-652-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PEN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "NYGAARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "SEC/TRES",
        "authorized_official_telephone_number": "828-652-1989"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703089",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS - MEDICARE EDI OPERATIONS - PALMETTO GBA",
            "identifier": "C08500402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Elyce Hozack, MSW, PHD
• Ingles Markets Inc (Ingles Pharmacy #060)
• Inspirations for Positive Living Inc
• Invitation Therapy
• Bonita L Irwin
• Revonda Vess Jackson, OT
• Erik Frank Johanson, PA-C
• Andrew N Johnson, DPT
• Kim Sylvia Johnson, NP
• Amy V Jolly, LCMHC

• Durable Medical Equipment & Medical Supplies in Marion, NC
• Providers in Marion, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.