Organization Active NPI

Primed Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1376842070
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMED MEDICAL SUPPLY INC
Practice address
6033 Airline Dr
Houston, TX 77076-4209
Phone
(713) 697-3261
Fax
(713) 697-3541
NPI assigned
Mar 21, 2011
Organization subpart
Yes
Parent organization
M P HEALTHCARE MEDICAL SUPPLY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Mr. Rajoo Patel
Title
Manager
Phone
(832) 250-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6033 Airline Dr
Houston, TX 77076-4209

Mailing address

6033 Airline Dr
Houston, TX 77076-4209
Phone (713) 697-3261

Other identifiers 1

IdentifierTypeStateIssuer
016891601MedicaidTX

National Provider Directory

National Provider Directory
Part of
M P Healthcare Medical Supply LLC

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1376842070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764209",
            "telephone_number": "713-697-3261",
            "fax_number": "713-697-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764209",
            "telephone_number": "713-697-3261",
            "fax_number": "713-697-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M P HEALTHCARE MEDICAL SUPPLY LLC",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJOO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-250-6069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016891601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.