Elixir Supply & Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000086 Issued in TX

Legal business name

ELIXIR SUPPLY & SERVICES, INC.

Practice address

9894 Bissonnet St
Ste. 100-0
Houston, TX 77036-8239

Phone

(713) 988-8989

Fax

(713) 988-8989

NPI assigned

Jul 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Sunny Odey Idiku

Title

President

Phone

(713) 988-8989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1336379221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "SUITE 100-0",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-988-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST",
            "address_2": "STE. 100-0",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368239",
            "telephone_number": "713-988-8989",
            "fax_number": "713-988-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIXIR SUPPLY & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "IDIKU",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_middle_name": "ODEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-988-8989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, 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 Aug 30, 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.