Organization Active NPI

Valley Medical Supply LLC.

  • Oxygen Equipment & Supplies (DME)
  • Pharr, TX
National Provider Identifier
1245416478
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
VALLEY MEDICAL SUPPLY LLC.
Practice address
200 E Expressway 83
Suite P
Pharr, TX 78577-6507
Phone
(956) 702-1100
Fax
(956) 702-1104
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Mr. Ramiro Martinez
Title
Manger
Phone
(956) 630-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

200 E Expressway 83
Suite P
Pharr, TX 78577-6507

Mailing address

200 E Expressway 83
Suite P
Pharr, TX 78577-6507
Phone (956) 702-1100

Other identifiers 2

IdentifierTypeStateIssuer
197151702MedicaidTX
197151701MedicaidTX

National Provider Directory

National Provider Directory

Locations

200 E Interstate 2
Ste P
Pharr, TX 78577
Phone (956) 702-1100

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1245416478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E EXPRESSWAY 83",
            "address_2": "SUITE P",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776507",
            "telephone_number": "956-702-1100",
            "fax_number": "956-702-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E EXPRESSWAY 83",
            "address_2": "SUITE P",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776507",
            "telephone_number": "956-702-1100",
            "fax_number": "956-702-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL SUPPLY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "956-630-5999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197151702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197151701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.