A&M Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

004139201 Issued in ID

Legal business name

A&M MEDICAL SUPPLIES LLC

Practice address

4176 W Homestead Dr
Rexburg, ID 83440-3089

Phone

(208) 359-0547

Fax

(208) 359-8014

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anjanette Roberts

Title

Member

Phone

(208) 359-0547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1093053134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4176 W HOMESTEAD DR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403089",
            "telephone_number": "208-359-0547",
            "fax_number": "208-359-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4176 W HOMESTEAD DR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403089",
            "telephone_number": "208-359-0547",
            "fax_number": "208-359-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-359-0547"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "004139201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.