Advanced Durable Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED DURABLE MEDICAL, INC.

Practice address

2054 Concourse Dr
Saint Louis, MO 63146-4119

Phone

(314) 447-0259

Fax

(314) 447-0263

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Carlon Cantrell

Title

President

Phone

(314) 447-0259

Specialties & licenses 1

Addresses

Locations

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.

• Julie Caputa, RPH

  • Pharmacist
  • Saint Louis, MO
  • NPI 1205437019
  NPD

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255475547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 CONCOURSE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464119",
            "telephone_number": "314-447-0259",
            "fax_number": "314-447-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 CONCOURSE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464119",
            "telephone_number": "314-447-0259",
            "fax_number": "314-447-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DURABLE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CARLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-447-0259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Louis, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.