NPIMap

Organization Active NPI

Kansas Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, KS
National Provider Identifier
1275836819
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16-00454 Issued in KS
Legal business name
KANSAS MEDICAL SUPPLY, INC.
Practice address
217 S Kansas Ave
Columbus, KS 66725
Phone
(620) 429-1999
Fax
(620) 429-1980
NPI assigned
Dec 20, 2010
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Jason W, Hulvey, PHARM.D.NPI 1356437677
Title
Owner/President
Phone
(620) 429-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16-00454 KS Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 16-00454 KS

Addresses

Primary practice location

217 S Kansas Ave
Columbus, KS 66725

Mailing address

217 South Kansas Ave
Columbus, KS 66725
Phone (620) 429-1999

Other identifiers 1

IdentifierTypeStateIssuer
16-00454OtherKSKANSAS STATE BOARD OF PHARMACY - DME LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

217 S Kansas Ave
Columbus, KS 66725
Phone (620) 429-1999

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1275836819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH KANSAS AVE",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "66725",
            "telephone_number": "620-429-1999",
            "fax_number": "620-429-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S KANSAS AVE",
            "city": "COLUMBUS",
            "state": "KS",
            "postal_code": "66725",
            "telephone_number": "620-429-1999",
            "fax_number": "620-429-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "HULVEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W,",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "620-429-1999",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "16-00454",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KS",
            "license": "16-00454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF PHARMACY - DME LICENSE NUMBER",
            "identifier": "16-00454",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.