Organization Active NPI

American Southwest CPM & Medical Supply, Inc.

  • Customized Equipment (DME)
  • Phoenix, AZ
National Provider Identifier
1184611329
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
AMERICAN SOUTHWEST CPM & MEDICAL SUPPLY, INC.
Practice address
8686 N Central Ave
#112
Phoenix, AZ 85020-3153
Phone
(602) 957-4700
Fax
(602) 264-9015
NPI assigned
Oct 3, 2005
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN SOUTHWEST CPM AND MEDICAL SUPPLY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mr. Kevin Royce Randall
Title
President Owner
Phone
(602) 957-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

8686 N Central Ave
#112
Phoenix, AZ 85020-3153

Mailing address

8686 N Central Ave
#112
Phoenix, AZ 85020-3153
Phone (602) 957-4700

National Provider Directory

National Provider Directory
Part of
American SW CPM and Med

Locations

21617 N 3rd Ave
Ste A
Phoenix, AZ 85027
Phone (602) 957-4700

23025 N 15th Ave
Ste 106B
Phoenix, AZ 85027
Phone (602) 957-4700

8686 N Central Ave
Ste 112
Phoenix, AZ 85020
Phone (602) 957-4700

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1184611329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 N CENTRAL AVE",
            "address_2": "#112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203153",
            "telephone_number": "602-957-4700",
            "fax_number": "602-264-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 N CENTRAL AVE",
            "address_2": "#112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203153",
            "telephone_number": "602-957-4700",
            "fax_number": "602-264-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SOUTHWEST CPM & MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SOUTHWEST CPM AND MEDICAL SUPPLY INC",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "602-957-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.