Organization Active NPI

Abco Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1003126848
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0225997 Issued in TN
Legal business name
ABCO MEDICAL SUPPLY, INC.
Practice address
348 Trane Drive
Knoxville, TN 37919-6052
Phone
(888) 899-8881
Fax
(888) 606-4866
NPI assigned
Oct 14, 2010
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Collin Roger Donoghue
Title
VP/GM
Phone
(888) 899-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0225997 TN Primary

Addresses

Primary practice location

348 Trane Drive
Knoxville, TN 37919-6052

Mailing address

348 Trane Drive
Knoxville, TN 37919-6052
Phone (888) 899-8881

Other names 1

  • Weaver Medical Group, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000424 TN DME Supplier - Medical Supply Company 7416139233 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Tax ID family
Abco Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

116 Concord Rd
Ste 700
Knoxville, TN 37934
Phone (865) 777-6888

348 Trane Dr
Knoxville, TN 37919
Phone (865) 240-0098

5908 Toole Dr
Ste H
Knoxville, TN 37919
Phone (865) 777-6888

6515 Clinton Hwy
Ste 105
Knoxville, TN 37912
Phone (888) 899-8881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1003126848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 TRANE DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196052",
            "telephone_number": "888-899-8881",
            "fax_number": "888-606-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 TRANE DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196052",
            "telephone_number": "888-899-8881",
            "fax_number": "888-606-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCO MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "DONOGHUE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "VP/GM",
        "authorized_official_telephone_number": "888-899-8881"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0225997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weaver Medical Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.