Organization Active NPI

RKR Oxygen & Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceburg, TN
National Provider Identifier
1992799019
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000834 Issued in TN
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

Updated by the provider on Aug 12, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002005520OtherBLUE CROSS BLUE SHIELD TN
3562699MedicaidTN
357951400OtherOWCP DOL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.