NPIMap

Organization Active NPI

Crown Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1225359417
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000032 Issued in TX
Legal business name
CROWN MEDICAL SUPPLY, LLC
Practice address
8700 Commerce Park Dr
Suite 200
Houston, TX 77036-7497
Phone
(713) 995-0944
Fax
(713) 995-0933
NPI assigned
Jun 22, 2010
Last updated
Aug 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Mr. Kamlo Nelson NgassaNPI 1891922308
Title
Owner/Administrator
Phone
(713) 995-0944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000032 TX Primary

Addresses

Primary practice location

8700 Commerce Park Dr
Suite 200
Houston, TX 77036-7497

Mailing address

8700 Commerce Park Dr
Suite 200
Houston, TX 77036-7497
Phone (713) 995-0944

National Provider Directory

National Provider Directory

Locations

8700 Commerce Park Dr
Ste 200
Houston, TX 77036
Phone (713) 995-0944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1225359417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-995-0944",
            "fax_number": "713-995-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-995-0944",
            "fax_number": "713-995-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "NGASSA",
        "authorized_official_first_name": "KAMLO",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "713-995-0944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.