NPIMap

Organization Active NPI

Med Supplies Express Inc

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1346707791
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MED SUPPLIES EXPRESS INC
Practice address
925 Cripple Creek Dr Ste 500
Lawrenceville, GA 30043-8504
Phone
(678) 377-5660
Fax
(770) 454-0123
NPI assigned
Feb 21, 2019
Organization subpart
Yes
Parent organization
MED-SUPPLIES EXPRESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Mbaukwu Anaba
Title
Owner
Phone
(678) 377-5660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

925 Cripple Creek Dr Ste 500
Lawrenceville, GA 30043-8504

Mailing address

925 Cripple Creek Dr Ste 500
Lawrenceville, GA 30043-8504
Phone (678) 377-5660

Other names 1

  • Med-Supplies Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med Supplies Express Inc2 organizations share this tax ID, including this one
Part of
Med Supplies Express Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

925 Cripple Creek Dr
Ste 500
Lawrenceville, GA 30043
Phone (678) 377-5660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1346707791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CRIPPLE CREEK DR STE 500",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438504",
            "telephone_number": "678-377-5660",
            "fax_number": "770-454-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CRIPPLE CREEK DR STE 500",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438504",
            "telephone_number": "678-377-5660",
            "fax_number": "770-454-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SUPPLIES EXPRESS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-SUPPLIES EXPRESS INC",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "ANABA",
        "authorized_official_first_name": "MBAUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-377-5660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Supplies Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.