J & B MEDICAL SUPPLY CO INC (NPI# 1629148853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629148853 |
| Entity Type | Organization |
| Organization Name | J & B MEDICAL SUPPLY CO INC |
| Other Organization Name | J & B MEDICAL SUPPLY CO INC DIS |
| Practice Address |
50496 W Pontiac Trail Wixom MI 48393 |
| Practice Telephone | 8007370045 |
| Practice Fax Number | 2489608082 |
| Mailing Telephone | 8007370045 |
| Mailing Fax Number | 2489608082 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-12-04 |
| NPI Deactivation Date | 05/10/2007 |
| NPI Reactivation Date | 2007-12-04 |
| Authorized Official Name | MR. JULIAN B SHAYA (VP) |
| Authorized Official Telephone | 8007370045 |
| Is Organization Subpart | Y |
| Parent Organization Name | J & B MEDICAL SUPPLY CO INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | BME0145457 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4596947 | 05 | |
| MI | BOARD OF PHARMACY MFR&WLH | 5306001467 | 01 |
| Other Name | Type Code |
|---|---|
| J & B Medical Supply Co Inc DIS | Other Name - Individual/Organization |
| Street Address |
50496 W PONTIAC TRAIL |
| City | WIXOM |
| State | MI |
| Zip Code | 48393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| 1376600478 | Ronald C. Hackett | Dentist | 646 Wixom Road, Wixom, MI 48393-0312 | 2007-01-02 |
| Find all providers in zip 48393 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205163110 | Active Medical Equipment | Durable Medical Equipment & Medical Supplies | 28003 Center Oaks Court, Suite 101, Wixom, MI 48393-3345 | 2009-11-13 |
| 1588780464 | Lucent Surgical Support Systems, Inc. | Durable Medical Equipment & Medical Supplies | 28243 Beck Rd Ste B12, Wixom, MI 48393-4721 | 2007-03-22 |
| 1063538189 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 49684 Martin Dr, Wixom, MI 48393-2400 | 2007-03-21 |
| 1902955321 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 49900 Grand River Ave, Wixom, MI 48393-3308 | 2007-01-09 |
| 1255422010 | Harbor Oxygen of Southeast Mi, LLC | Durable Medical Equipment & Medical Supplies | 29454 Haas Rd, Wixom, MI 48393-3022 | 2006-09-27 |
| 1841206141 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 47300 Pontiac Trail, Wixom, MI 48393-2551 | 2006-07-31 |
| 1417941774 | J&b Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W. Pontiac Trl, Wixom, MI 48393-2027 | 2005-09-01 |
| 1770575706 | American Diabetic Supply, Inc. | Durable Medical Equipment & Medical Supplies | 28317 Beck Rd, E-18, Wixom, MI 48393-4729 | 2005-08-16 |
| 1063730711 | Lucent Surgical Support Systems, Inc. | Durable Medical Equipment & Medical Supplies | 28243 Beck Rd Ste B12, Wixom, MI 48393-4721 | 2010-05-05 |
| 1154475390 | High Level Oxygen LLC | Durable Medical Equipment & Medical Supplies | 29454 Haas Rd, Wixom, MI 48393-3022 | 2007-01-23 |
| Find all providers in WIXOM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.