NPIMap

Organization Active NPI

His Grace Medical Supply and More

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
National Provider Identifier
1205037892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HIS GRACE MEDICAL SUPPLY AND MORE
Practice address
740 Charles City Dr
Arlington, TX 76018-2390
Phone
(817) 501-8530
NPI assigned
May 30, 2007
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
Mrs. Pamela Olabisi Adenuga
Title
Owner
Phone
(817) 501-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

740 Charles City Dr
Arlington, TX 76018-2390

Mailing address

740 Charles City Dr
Arlington, TX 76018-2390
Phone (817) 501-8530

National Provider Directory

National Provider Directory
Tax ID family
His Grace Medical Supply and More2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205037892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CHARLES CITY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182390",
            "telephone_number": "817-501-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CHARLES CITY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182390",
            "telephone_number": "817-501-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE MEDICAL SUPPLY AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADENUGA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "OLABISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-501-8530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, 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.