Organization Active NPI

Av Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1124120951
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20130013 Issued in AZ
Legal business name
AV MEDICAL SUPPLIES
Practice address
444 W Main St Ste 101
Mesa, AZ 85201-6514
Phone
(480) 834-3390
Fax
(480) 834-0635
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Andrai Vulpe
Title
Owner
Phone
(480) 834-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20130013 AZ Primary

Addresses

Primary practice location

444 W Main St Ste 101
Mesa, AZ 85201-6514

Mailing address

444 W Main St Ste 101
Mesa, AZ 85201-6514
Phone (480) 834-3390

National Provider Directory

National Provider Directory

Locations

444 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 834-3390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1124120951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W MAIN ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016514",
            "telephone_number": "480-834-3390",
            "fax_number": "480-834-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W MAIN ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016514",
            "telephone_number": "480-834-3390",
            "fax_number": "480-834-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VULPE",
        "authorized_official_first_name": "ANDRAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-834-3390"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20130013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.