Elk Grove Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

52828 Issued in CA

Legal business name

ELK GROVE MEDICAL SUPPLIES, INC

Practice address

8949 Elk Grove Blvd
Elk Grove, CA 95624-1942

Phone

(916) 686-9595

Fax

(916) 686-9596

NPI assigned

Aug 6, 2010

Last updated

Aug 6, 2010By 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

Ms. Andrea K Kono

Title

Owner

Phone

(916) 686-9595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1316251937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241942",
            "telephone_number": "916-686-9595",
            "fax_number": "916-686-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 ELK GROVE BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241942",
            "telephone_number": "916-686-9595",
            "fax_number": "916-686-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "KONO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-686-9595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk Grove Foot and Ankle PC
• Elk Grove Hearing Care
• Elk Grove Hearing Clinic, Inc. (Elk Grove Hearing Care)
• Elk Grove Home Health Inc (Elk Grove Home Health)
• Elk Grove Medical & Dental Supply
• Elk Grove Natural Health
• Elk Grove Optometry a Professional Corporation
• Elk Grove Pediatrics, Inc
• Elk Grove Pharmacy Inc
• Elk Grove Rehab & Counseling Center

• Durable Medical Equipment & Medical Supplies in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

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

Verify at the official NPI Registry.