Aerie Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0076573 Issued in TX

Legal business name

AERIE MEDICAL SUPPLY INC

Doing business as

AMS Medical Supply

Practice address

1800 N Galloway Ave
Suite 300
Mesquite, TX 75149-2769

Phone

(972) 216-7700

Fax

(972) 216-7714

NPI assigned

Sep 25, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel S Askins

Title

President & Ceo

Phone

(972) 757-5065

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AMS Medical Supply Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1356441786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N GALLOWAY AVE",
            "address_2": "SUITE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492769",
            "telephone_number": "972-216-7700",
            "fax_number": "972-216-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N GALLOWAY AVE",
            "address_2": "SUITE 300",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492769",
            "telephone_number": "972-216-7700",
            "fax_number": "972-216-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ASKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "972-757-5065"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0076573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832206-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832206-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.