Organization Active NPI

The Wig Doctor RX Florida Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1972420917
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE WIG DOCTOR RX FLORIDA INC
Practice address
5621 Commerce St
Jacksonville, FL 32211-5257
Phone
(904) 480-0189
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Mr. Rande Harris
Title
Owner
Phone
(904) 480-0189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5621 Commerce St
Jacksonville, FL 32211-5257

Mailing address

9061 Western Way Unit 4
Jacksonville, FL 32256-0380
Phone (904) 480-0189

National Provider Directory

National Provider Directory

Locations

5621 Commerce St
Jacksonville, FL 32211

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1972420917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9061 WESTERN WAY UNIT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560380",
            "telephone_number": "904-480-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 COMMERCE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115257",
            "telephone_number": "904-480-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG DOCTOR RX FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-480-0189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.