Organization Active NPI

Shareika D Tellison

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1245400431
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0096128 Issued in TX
Legal business name
SHAREIKA D TELLISON
Doing business as
Houston's Best Medical Supply
Practice address
10039 Bissonnet St
209
Houston, TX 77036-7854
Phone
(713) 779-0125
Fax
(713) 779-1668
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Ms. Shareika Donye Tellison
Title
Owner
Phone
(713) 779-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0096128 TX Primary

Addresses

Primary practice location

10039 Bissonnet St
209
Houston, TX 77036-7854

Mailing address

10039 Bissonnet St
209
Houston, TX 77036-7854
Phone (713) 779-0125

Other identifiers 1

IdentifierTypeStateIssuer
195691403MedicaidTX

Other names 1

  • Houston's Best Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

10039 Bissonnet St
Ste 209
Houston, TX 77036
Phone (832) 878-2816

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1245400431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10039 BISSONNET ST",
            "address_2": "209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367854",
            "telephone_number": "713-779-0125",
            "fax_number": "713-779-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10039 BISSONNET ST",
            "address_2": "209",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367854",
            "telephone_number": "713-779-0125",
            "fax_number": "713-779-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAREIKA D TELLISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "TELLISON",
        "authorized_official_first_name": "SHAREIKA",
        "authorized_official_middle_name": "DONYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-779-0125",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0096128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195691403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston's Best Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 21, 2009; 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.