Nickes Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NICKES MEDICAL SUPPLY, LLC

Practice address

365 N. Telluride St.
Buckley Afb
Aurora, CO 80011

Phone

(303) 364-3918

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Ngozi Kathleen Austin-Eleje

Title

Manager

Phone

(915) 533-8870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1003372137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022509",
            "telephone_number": "915-533-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N. TELLURIDE ST.",
            "address_2": "BUCKLEY AFB",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-364-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKES MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-ELEJE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-533-8870"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Coleen Nicholson, O.D.
• Lindsay K Nicholson, MD
• Oliver Levi Nicholson, LSW
• Alex Edwin Alan Nickel
• Thu Nickel, PHARMD
• Daniel Andrew Nicklas, MD
• Jacinda Mawson Nicklas, M.D., MPH
• Malena Michelle Nicodemus, PA
• Charles Daniel Nicoli, MD
• Christian Andrew Nicolosi, MD

• Durable Medical Equipment & Medical Supplies in Aurora, CO
• Providers in Aurora, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.