Active NPI
RKR Oxygen & Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Lawrenceburg, TN
National Provider Identifier
1992799019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000834
- Legal business name
- RKR OXYGEN & SUPPLIES INC
- Practice address
- 1270 1St Ave
Lawrenceburg, TN 38464-2762 - Phone
- (931) 766-2119
- Fax
- (931) 548-0705
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Y Hall
- Title
- President
- Phone
- (931) 766-2119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000834 | TN | Primary |
Addresses
Primary practice location
1270 1St Ave
Lawrenceburg, TN 38464-2762
Mailing address
1270 1St Ave
Lawrenceburg, TN 38464-2762
Phone (931) 766-2119
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002005520 | Other | BLUE CROSS BLUE SHIELD TN | |
| 3562699 | Medicaid | TN | |
| 357951400 | Other | OWCP DOL |
National Provider Directory
National Provider DirectoryLocations
1270 1st Ave
Lawrenceburg, TN 38464
Phone (931) 766-2119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313107200000",
"number": "1992799019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 1ST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642762",
"telephone_number": "931-766-2119",
"fax_number": "931-548-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 1ST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642762",
"telephone_number": "931-766-2119",
"fax_number": "931-548-0705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RKR OXYGEN & SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2011-08-12",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-766-2119"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "002005520",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3562699",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP DOL",
"identifier": "357951400",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.