Active NPI
Valley Medical Supply LLC.
- Oxygen Equipment & Supplies (DME)
- Pharr, TX
National Provider Identifier
1245416478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197151702 | Medicaid | TX | |
| 197151701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.