Am Medical Supply Inc

Primary specialty

Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X

License

0089277 Issued in TX

Legal business name

AM MEDICAL SUPPLY INC

Practice address

1702 E Yandell
El Paso, TX 79902

Phone

(915) 351-1080

Fax

(915) 351-9539

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Varela Martinez

Title

President

Phone

(915) 351-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AM Medical Doing business as

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1235248998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E YANDELL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-351-1080",
            "fax_number": "915-351-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E YANDELL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-351-1080",
            "fax_number": "915-351-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "VARELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-351-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "TX",
            "license": "0089277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17017990Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Analaura Amador
• Eduardo Amador, LVN

• Military/U.S. Coast Guard Pharmacy in El Paso, TX
• Providers in El Paso, TX by specialty
• Military/U.S. Coast Guard Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.