Intermed Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTERMED MEDICAL SUPPLY, INC.

Doing business as

InterMED Medical Supply & Mobility

Practice address

5145 Preston Ave
Ste 190
Pasadena, TX 77505-2055

Phone

(281) 534-0854

Fax

(281) 534-0860

NPI assigned

Aug 22, 2006

Last updated

Jan 5, 2015By 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. Craig Edward Yager

Title

President

Phone

(281) 534-0854

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• InterMED Medical Supply & Mobility Doing business as

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1265548937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 PRESTON AVE",
            "address_2": "STE 190",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052055",
            "telephone_number": "281-534-0854",
            "fax_number": "281-534-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 PRESTON AVE",
            "address_2": "STE 190",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052055",
            "telephone_number": "281-534-0854",
            "fax_number": "281-534-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "YAGER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-534-0854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186262502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186262501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterMED Medical Supply & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.