Immaculate Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMMACULATE MEDICAL SUPPLIES, INC.

Practice address

179 S Watson Rd
Suite 418
Arlington, TX 76010-5416

Phone

(682) 551-9886

Fax

(682) 551-9886

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Hilary David Jr.NPI 1568695518

Title

Ceo

Phone

(682) 551-9886

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hilary David

  • Contractor
  • Arlington, TX
  • NPI 1568695518
  NPD (past) Authorized official

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1265666192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 S WATSON RD",
            "address_2": "SUITE 418",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105416",
            "telephone_number": "682-551-9886",
            "fax_number": "682-551-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 S WATSON RD",
            "address_2": "SUITE 418",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760105416",
            "telephone_number": "682-551-9886",
            "fax_number": "682-551-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-551-9886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Arlington, TX
• Providers in Arlington, 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 May 6, 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.