Organization Active NPI

J & R Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1972516144
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0065492 Issued in TX
Legal business name
J & R MEDICAL, LLC
Practice address
4635 Southwest Fwy Ste 800
Houston, TX 77027
Phone
(713) 344-0901
Fax
(713) 344-1298
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mr. Jeffery B Hendrix
Title
Cfo
Phone
(405) 443-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0065492 TX Primary

Addresses

Primary practice location

4635 Southwest Fwy Ste 800
Houston, TX 77027

Mailing address

8516 NW Expressway
Oklahoma City, OK 73162-6010
Phone (405) 595-5286

Other identifiers 1

IdentifierTypeStateIssuer
179759901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930023463 TX DME Supplier - Medical Supply Company 1355542523 Practice locations: Houston, TX

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&R Medical4635 Southwest Fwy, Houston, TX 77027-7105(713) 344-0901 Commodes, Urinals, Bedpans|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Surgical Dressings|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Apr 5, 2006

National Provider Directory

National Provider Directory

Locations

4950 Terminal St
Ste 200
Bellaire, TX 77401
Phone (713) 344-0901

4635 Southwest Fwy
Ste 800
Houston, TX 77027
Phone (713) 344-0901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1972516144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626010",
            "telephone_number": "405-595-5286",
            "fax_number": "405-898-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-344-0901",
            "fax_number": "713-344-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & R MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-443-2985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179759901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.