Apache Medical Supply

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

APACHE MEDICAL SUPPLY

Practice address

11200 Broadway St Ste 2743
Pearland, TX 77584-9787

Phone

(866) 542-3020

Fax

(346) 816-7690

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Keith Jason HebertNPI 1497101208

Title

Owner

Phone

(866) 542-3020

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Keith Hebert

  • Case Manager/Care Coordinator
  • Houston, TX
  • NPI 1497101208
  NPD Authorized official

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1184040719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742043",
            "telephone_number": "866-542-3020",
            "fax_number": "713-999-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST STE 2743",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849787",
            "telephone_number": "866-542-3020",
            "fax_number": "346-816-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APACHE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-542-3020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antania Antoine
• Tanesha Antoine
• Christine Ann Antolin
• Adannia Anyabolu
• Ikenna Chidum Anyabolu
• Apache Medical Supply LLC
• Apc Health LLC
• Sefa-Akor Apedo
• Apollo Healthcare at Pearland LLC
• Apothecary Pharmacy Solutions LCC

• Parenteral & Enteral Nutrition Supplies (DME) in Pearland, TX
• Providers in Pearland, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.