Active NPI
Premier Hospital Supply Inc
Doing business as O2 Solutions
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1144254079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PREMIER HOSPITAL SUPPLY INC
- Doing business as
- O2 Solutions
- Practice address
- 5326 Pan American Rd NE
Albuquerque, NM 87109 - Phone
- (505) 341-4914
- Fax
- (505) 341-4916
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darren D Maestas
- Title
- President
- Phone
- (505) 341-4914
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 407NM | NM | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5326 Pan American Rd NE
Albuquerque, NM 87109
Mailing address
PO Box 93725
5326 Pan American Rd NE
Albuquerque, NM 87199-3725
Phone (505) 341-4914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76301061 | Medicaid | NM |
Other names 1
- O2 Solutions
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016176 | NM | DME Supplier - Medical Supply Company With Respiratory Therapist | 6406068782 | Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
5326 Pan American East Fwy NE
Albuquerque, NM 87109
Phone (505) 341-4914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342051200000",
"number": "1144254079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93725",
"address_2": "5326 PAN AMERICAN RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871993725",
"telephone_number": "505-341-4914",
"fax_number": "505-341-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5326 PAN AMERICAN RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-341-4914",
"fax_number": "505-341-4916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HOSPITAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2012-07-12",
"status": "A",
"authorized_official_last_name": "MAESTAS",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-341-4914",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": "NM",
"license": "407NM",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76301061",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "O2 Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Albuquerque, NM
- Prelux Home Care LLC
- Prelux Home Care LLC
- Premier Anesthesia of New Mexico, LLP
- Premier Hearing Center
- Premier Hearing Center LLC
- Premise Health of New Mexico Medical P C (My Health Center At Lowe's New Mexico)
- Premise to Promise LLC
- Thomas Prendergast, D.O.
- Jennifer F Prentiss, RPH
- Ronald Edward Prenzel, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.