Organization Active NPI

Alpha Medical Supplies

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1104870617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1001100581 Issued in NV
Legal business name
ALPHA MEDICAL SUPPLIES
Practice address
4676 W Charleston Blvd
Las Vegas, NV 89102-1503
Phone
(702) 388-1299
Fax
(702) 798-1299
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christian Igboamazu
Title
Chairman/Part Owner
Phone
(702) 388-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1001100581 NV Primary

Addresses

Primary practice location

4676 W Charleston Blvd
Las Vegas, NV 89102-1503

Mailing address

4676 W Charleston Blvd
Las Vegas, NV 89102-1503
Phone (702) 388-1299

National Provider Directory

National Provider Directory

Locations

4676 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 388-1299

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104870617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021503",
            "telephone_number": "702-388-1299",
            "fax_number": "702-798-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021503",
            "telephone_number": "702-388-1299",
            "fax_number": "702-798-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IGBOAMAZU",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CHAIRMAN/PART OWNER",
        "authorized_official_telephone_number": "702-388-1299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "1001100581",
            "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 Aug 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.