NPIMap

Organization Active NPI

Bluebird Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1023404241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLUEBIRD MEDICAL SUPPLY INC
Practice address
1400 S Decatur Blvd
Las Vegas, NV 89102-8511
Phone
(702) 998-1438
Fax
(702) 998-0249
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Karine Ghadyan
Title
Owner
Phone
(702) 469-6173

Specialties & licenses 1

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

Addresses

Primary practice location

1400 S Decatur Blvd
Las Vegas, NV 89102-8511

Mailing address

1400 S Decatur Blvd
Las Vegas, NV 89102-8511
Phone (702) 998-1438

National Provider Directory

National Provider Directory
Tax ID family
Bluebird 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.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023404241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-998-1438",
            "fax_number": "702-998-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-998-1438",
            "fax_number": "702-998-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GHADYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-469-6173"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.