NPIMap

Organization Active NPI

Elite Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
National Provider Identifier
1386955839
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT OBTAINED YET Issued in NE
Legal business name
ELITE MEDICAL SUPPLIES INC.
Practice address
3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone
(402) 464-2422
Fax
(402) 464-2922
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mrs. Jennifer Gibbons, RN
Title
Secretary/Owner
Phone
(402) 464-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NOT OBTAINED YET NE Primary

Addresses

Primary practice location

3901 Faulkner Dr
Lincoln, NE 68516-4738

Mailing address

3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 464-2422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1386955839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 FAULKNER DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164738",
            "telephone_number": "402-464-2422",
            "fax_number": "402-464-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FAULKNER DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164738",
            "telephone_number": "402-464-2422",
            "fax_number": "402-464-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "402-464-2422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "NOT OBTAINED YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

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