Organization Active NPI

American General Merchants Inc.

Doing business as American General Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Mesquite, TX
National Provider Identifier
1023529690
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN GENERAL MERCHANTS INC.
Doing business as
American General Medical Supply
Practice address
3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603
Phone
(972) 270-0500
Fax
(972) 674-2944
NPI assigned
Oct 23, 2017
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Mr. Idris Elija Salia
Title
President
Phone
(214) 415-5554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Dialysis Equipment & Supplies (DME) 332BD1200X

Addresses

Primary practice location

3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603

Mailing address

3213 Interstate 30 Ste 108
Mesquite, TX 75150-2603
Phone (972) 270-0500

Other identifiers 2

IdentifierTypeStateIssuer
1002022OtherTXTEXAS DEVICE DISTRIBUTOR LICENSE
3925968MedicaidTX

Other names 1

  • AMERICAN GENERAL MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

3213 Interstate 30
Ste 410
Mesquite, TX 75150
Phone (469) 558-8239

3213 Interstate 30
Ste 108
Mesquite, TX 75150
Phone (972) 270-0500

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1023529690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 INTERSTATE 30 STE 108",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502603",
            "telephone_number": "972-270-0500",
            "fax_number": "972-674-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 INTERSTATE 30 STE 108",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502603",
            "telephone_number": "972-270-0500",
            "fax_number": "972-674-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN GENERAL MERCHANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SALIA",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_middle_name": "ELIJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-415-5554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEVICE DISTRIBUTOR LICENSE",
            "identifier": "1002022",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3925968",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN GENERAL MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.