Organization Active NPI

Advanced Medequip and Supplies LTD

  • Customized Equipment (DME)
  • Richardson, TX
National Provider Identifier
1184786436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
0092679 Issued in TX
Legal business name
ADVANCED MEDEQUIP AND SUPPLIES LTD
Practice address
331 Melrose Dr
Suite #106
Richardson, TX 75080-4405
Phone
(972) 479-1005
Fax
(972) 479-1854
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Okey F Nwagbara
Title
President
Phone
(972) 479-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 0092679 TX Primary

Addresses

Primary practice location

331 Melrose Dr
Suite #106
Richardson, TX 75080-4405

Mailing address

331 Melrose Dr
Suite #106
Richardson, TX 75080-4405
Phone (972) 479-1005

National Provider Directory

National Provider Directory

Locations

331 Melrose Dr
Ste 106
Richardson, TX 75080
Phone (972) 479-1005

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184786436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE #106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-479-1005",
            "fax_number": "972-479-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE #106",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-479-1005",
            "fax_number": "972-479-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDEQUIP AND SUPPLIES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWAGBARA",
        "authorized_official_first_name": "OKEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-479-1005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0092679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.