Aetna Medical Supplies USA Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AETNA MEDICAL SUPPLIES USA INC

Practice address

401 W Abram St Ste B
Arlington, TX 76010-1059

Phone

(817) 460-2311

Fax

(817) 460-2344

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Nwaefulu

Title

Officer

Phone

(817) 460-2311

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1326282575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ABRAM ST STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101059",
            "telephone_number": "817-460-2311",
            "fax_number": "817-460-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ABRAM ST STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101059",
            "telephone_number": "817-460-2311",
            "fax_number": "817-460-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA MEDICAL SUPPLIES USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "NWAEFULU",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-460-2311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.