Admiral Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0119124416 Issued in IN

Legal business name

ADMIRAL MEDICAL SUPPLY

Practice address

2511 E 46TH St Ste Q7
Indianapolis, IN 46205-2461

Phone

(317) 641-3174

Fax

(317) 545-1877

NPI assigned

Apr 6, 2006

Last updated

May 20, 2009By 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

Mr. Rashard Graves

Title

Owner

Phone

(317) 641-3174

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1114989712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST STE Q7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052461",
            "telephone_number": "317-641-3174",
            "fax_number": "317-545-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 E 46TH ST STE Q7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052461",
            "telephone_number": "317-641-3174",
            "fax_number": "317-545-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "RASHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-641-3174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0119124416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200482300",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200921980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Emmons Adler, DDS
• Robert George Adler II, PHARMD
• Adm Mobility Solutions, Inc. (Mobility Solutions)
• Admiral Medical Center, Inc (Professional Diabetes Care Center)
• Admiral Medical Diabetic Education, Inc (A1c Care Center Group)
• Admiral Medical Supply Inc.
• Admiral Medical Supply, Inc
• Admiral Medical Supply, Inc
• Admire ABA in LLC
• Michael Suru Adoga

• Durable Medical Equipment & Medical Supplies in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.