Organization Active NPI

Pioneer Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wichita Falls, TX
National Provider Identifier
1053422816
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PIONEER HOME MEDICAL SUPPLY, INC.
Practice address
2611 Plaza Pkwy Ste 301B
Wichita Falls, TX 76308-3870
Phone
(940) 285-5227
Fax
(866) 546-7990
NPI assigned
Aug 31, 2006
Last updated
Jan 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Rami Tabassi
Title
President
Phone
(940) 285-5227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

2611 Plaza Pkwy Ste 301B
Wichita Falls, TX 76308-3870

Mailing address

2611 Plaza Pkwy Ste 301B
Wichita Falls, TX 76308-3870
Phone (940) 285-5227

Other identifiers 1

IdentifierTypeStateIssuer
183653801MedicaidTX

National Provider Directory

National Provider Directory

Locations

109 N Main St
Henrietta, TX 76365
Phone (940) 538-5520

2611 Plaza Pkwy
Ste 301B
Wichita Falls, TX 76308
Phone (940) 285-5227

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1053422816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 PLAZA PKWY STE 301B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083870",
            "telephone_number": "940-285-5227",
            "fax_number": "844-527-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 PLAZA PKWY STE 301B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083870",
            "telephone_number": "940-285-5227",
            "fax_number": "866-546-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "TABASSI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-285-5227"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183653801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.