Valley Medical Shoppe Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME 225 Issued in ID

Legal business name

VALLEY MEDICAL SHOPPE INC

Practice address

3908 Washington Parkway
Idaho Falls, ID 83404

Phone

(208) 523-3800

Fax

(208) 529-1817

NPI assigned

Jun 7, 2006

Organization subpart

Yes

Parent organization

VALLEY MEDICAL SHOPPE INCAs reported in NPPES

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

Authorized official

Name

Mr. Gary W Aiman

Title

Owner

Phone

(208) 356-7913

Specialties & licenses 1

Addresses

Part of

Valley Medical Shoppe Inc

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1215977384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401620",
            "telephone_number": "208-356-7913",
            "fax_number": "208-356-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 WASHINGTON PARKWAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-3800",
            "fax_number": "208-529-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL SHOPPE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MEDICAL SHOPPE INC",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "AIMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-7913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME 225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Idaho Falls, ID by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.