{"npi":"1003870957","type":"NPI-2","status":"active","name":{"display":"Jackson Medical Equipment, Inc.","other":[],"organization_name":"JACKSON MEDICAL EQUIPMENT, INC.","authorised_official":"Joel Pittman"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"982 THOMAS AVE","city":"SAINT PAUL","state":"MN","postal_code":"551042638","country_code":"US","phone":"6516456221"},{"purpose":"MAILING","street_1":"982 THOMAS AVE","city":"SAINT PAUL","state":"MN","postal_code":"551042638","country_code":"US"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"32719","state":"MN","issuer":"HEALTHPARTNERS"},{"type_code":"05","label":"Medicaid","value":"345563700","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"8283840","state":"MN","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"107274","state":"MN","issuer":"UCAREMN"},{"type_code":"01","label":"Other","value":"61989ME","state":"MN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"7007575","state":"MN","issuer":"PREFERREDONE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-04-15","last_updated":"2010-05-28","_meta":{"source":"NPPES","snapshot_date":"2010-05-28","doc_url":"https://findmynpi.com/api"}}