Active NPI
Embry Medical Supply
- Durable Medical Equipment & Medical Supplies
- Caneyville, KY
National Provider Identifier
1174708705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EMBRY MEDICAL SUPPLY
- Practice address
- 10 Industrial Dr
Caneyville, KY 42721-9176 - Phone
- (270) 879-9287
- Fax
- (270) 879-3405
- NPI assigned
- Jan 2, 2008
- Organization subpart
- Yes
- Parent organization
- EMBRY WELDING SUPPLY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James M Embry
- Title
- Coowner
- Phone
- (270) 879-9287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10 Industrial Dr
Caneyville, KY 42721-9176
Mailing address
10 Industrial Dr
Caneyville, KY 42721-9176
Phone (270) 879-9287
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1051288 | Other | KY | PASSPORT |
| 90010430 | Medicaid | KY | |
| 2433002000 | Other | KY | PASSPORT ADVANTAGE |
| 45901287 | Other | KY | MEDICIAD EPSDT |
| 000000070263 | Other | KY | BC |
Other names 1
- Embry Welding Supply, Inc.
National Provider Directory
National Provider Directory- Part of
- Embry Welding Supply Inc
Locations
10 Industrial Dr
Caneyville, KY 42721
Phone (270) 879-9287
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Caneyville, KY
- NPI 1144207432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199318400000",
"number": "1174708705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL DR",
"city": "CANEYVILLE",
"state": "KY",
"postal_code": "427219176",
"telephone_number": "270-879-9287",
"fax_number": "270-879-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL DR",
"city": "CANEYVILLE",
"state": "KY",
"postal_code": "427219176",
"telephone_number": "270-879-9287",
"fax_number": "270-879-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRY MEDICAL SUPPLY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMBRY WELDING SUPPLY, INC.",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-03",
"status": "A",
"authorized_official_last_name": "EMBRY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COOWNER",
"authorized_official_telephone_number": "270-879-9287"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1051288",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90010430",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2433002000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICIAD EPSDT",
"identifier": "45901287",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "000000070263",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Embry Welding Supply, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Caneyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.