Organization Active NPI

On-Time Medical Supply LLC

Doing business as On-Time Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1316297211
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ON-TIME MEDICAL SUPPLY LLC
Doing business as
On-Time Medical Supply
Practice address
3333 S Maryland Pkwy
Suite #2
Las Vegas, NV 89169-3098
Phone
(702) 605-6905
Fax
(702) 605-6906
NPI assigned
Sep 18, 2012
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Candis Hendrix
Title
Owner, Administrator
Phone
(702) 605-6905

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X
Emergency Response System Companies 333300000X
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

3333 S Maryland Pkwy
Suite #2
Las Vegas, NV 89169-3098

Mailing address

3333 S Maryland Pkwy
Suite #2
Las Vegas, NV 89169-3098
Phone (702) 605-6905

Other names 1

  • On-Time Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

3333 S Maryland Pkwy
Ste 2
Las Vegas, NV 89169
Phone (702) 605-6905

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1316297211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S MARYLAND PKWY",
            "address_2": "SUITE #2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693098",
            "telephone_number": "702-605-6905",
            "fax_number": "702-605-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S MARYLAND PKWY",
            "address_2": "SUITE #2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693098",
            "telephone_number": "702-605-6905",
            "fax_number": "702-605-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-TIME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "702-605-6905"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On-Time Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.