A2 Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

603430737 Issued in WA

Legal business name

A2 MEDICAL SUPPLY

Doing business as

none

Practice address

3241 34TH Ave W
Seattle, WA 98199-2614

Phone

(206) 557-9415

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Angelo Espiritu Jimenez

Title

Owner

Phone

(206) 557-9415

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1215338702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 34TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992614",
            "telephone_number": "206-557-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 34TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981992614",
            "telephone_number": "206-557-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A2 MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOHN ANGELO",
        "authorized_official_middle_name": "ESPIRITU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-557-9415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603430737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Seattle, WA
• Providers in Seattle, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.