JACKSON MEDICAL SUPPLY, INC
NPI 1659879625
Durable Medical Equipment & Medical Supplies in Largo, FL

Active since January 25, 2018
801 W BAY DR STE 515, LARGO, FL 33770(727) 754-3306 Get Directions Write a Review

NPPES record last updated: April 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About JACKSON MEDICAL SUPPLY, INC

This page provides the complete NPI Profile along with additional information for Jackson Medical Supply, Inc, a provider established in Largo, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1659879625 assigned on January 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Neeley Matthews (President)

NPI
1659879625 Verify this NPI
Provider Name
JACKSON MEDICAL SUPPLY, INC
Entity Type
Organization
Location Address
801 W BAY DR STE 515 LARGO, FL 33770
Location Phone
(727) 754-3306
Mailing Address
801 W BAY DR STE 515 LARGO, FL 33770
Mailing Phone
(727) 754-3306
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
04-28-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NEELEY MATTHEWS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(727) 754-3306

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659879625, enumerated as an "organization" on January 25, 2018.

The provider is located at 801 W BAY DR STE 515 LARGO, FL 33770 and the phone number is (727) 754-3306.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.