Organization Active NPI

St Augustine Medical Supply and EMS Inc

  • Durable Medical Equipment & Medical Supplies
  • Pawtucket, RI
National Provider Identifier
1013184324
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST AUGUSTINE MEDICAL SUPPLY AND EMS INC
Practice address
146 Broad Street
Pawtucket, RI 02860-2052
Phone
(401) 722-4477
Fax
(401) 722-4499
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Augustine Emenike Okoye
Title
Manager
Phone
(401) 722-4477

Specialties & licenses 1

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

Addresses

Primary practice location

146 Broad Street
Pawtucket, RI 02860-2052

Mailing address

146 Broad Street
Pawtucket, RI 02860-2052
Phone (401) 722-4477

National Provider Directory

National Provider Directory

Locations

146 Broad St
Pawtucket, RI 02860
Phone (401) 722-4477

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1013184324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BROAD STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602052",
            "telephone_number": "401-722-4477",
            "fax_number": "401-722-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BROAD STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602052",
            "telephone_number": "401-722-4477",
            "fax_number": "401-722-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE MEDICAL SUPPLY AND EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "EMENIKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-722-4477"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.