Organization Active NPI

Embry Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Caneyville, KY
National Provider Identifier
1174708705
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1051288OtherKYPASSPORT
90010430MedicaidKY
2433002000OtherKYPASSPORT ADVANTAGE
45901287OtherKYMEDICIAD EPSDT
000000070263OtherKYBC

Other names 1

  • Embry Welding Supply, Inc. Other name

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.

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.

Verify at the official NPI Registry.