Abc Medical Mart & Scrubs

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0077860 Issued in TX

Legal business name

ABC MEDICAL MART & SCRUBS

Practice address

5622 Garth Road
Baytown, TX 77521-9626

Phone

(281) 421-8740

Fax

(281) 421-8741

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Ann Perry-Monroe, RN

Title

Owner

Phone

(281) 424-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1346355997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219626",
            "telephone_number": "281-421-8740",
            "fax_number": "281-421-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 GARTH ROAD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219626",
            "telephone_number": "281-421-8740",
            "fax_number": "281-421-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC MEDICAL MART & SCRUBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "PERRY-MONROE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-424-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Baytown, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.