Premier Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER MEDICAL SUPPLY

Practice address

203 E King Ave
Kingsville, TX 78363-5575

Phone

(361) 592-9200

Fax

(361) 592-9292

NPI assigned

May 24, 2006

Last updated

Oct 23, 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. Omar Rodriguez

Title

Owner/Partner

Phone

(361) 592-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1225083298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E KING AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635575",
            "telephone_number": "361-592-9200",
            "fax_number": "361-592-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E KING AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635575",
            "telephone_number": "361-592-9200",
            "fax_number": "361-592-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "361-592-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Pena
• Julia Olivia Perez, R.D.
• Alyssa Pimentel, FNP
• Planned Parenthood Association of Cameron and Willacy Counties
• Bala Niklesh Reddy Pothireddy
• Prosperity Life Style Co LLC
• Frank Edwin Prukop, O.D.
• Eduardo Pulido
• Quality Care Medical Center of Kingsville PA
• Quality Medical Supply, Inc

• Durable Medical Equipment & Medical Supplies in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.