{"npi":"1073526166","type":"NPI-2","status":"active","name":{"display":"M&j Medical Supply","other":[],"organization_name":"M&J MEDICAL SUPPLY","authorised_official":"Michelle Walter"},"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":"1034 W MAIN ST","city":"RAVENNA","state":"OH","postal_code":"442662708","country_code":"US","phone":"3302979450","fax":"3302979455"},{"purpose":"MAILING","street_1":"1034 W MAIN ST","city":"RAVENNA","state":"OH","postal_code":"442662708","country_code":"US","phone":"3302979450","fax":"3302979455"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2518387","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930067994","type_code":"30-54","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY","state":"OH","pac_id":"2062622699"}]},"enumeration_date":"2006-08-13","last_updated":"2019-12-19","_meta":{"source":"NPPES","snapshot_date":"2019-12-19","doc_url":"https://findmynpi.com/api"}}