Express DME & Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0087790 Issued in TX

Legal business name

EXPRESS DME & SUPPLY, INC

Practice address

802 E Expressway 83
Ste D
Pharr, TX 78577-6524

Phone

(956) 781-4004

Fax

(956) 781-4304

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Omar Ledezma

Title

President

Phone

(956) 781-4004

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1396829354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E EXPRESSWAY 83",
            "address_2": "STE D",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776524",
            "telephone_number": "956-781-4004",
            "fax_number": "956-781-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E EXPRESSWAY 83",
            "address_2": "STE D",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776524",
            "telephone_number": "956-781-4004",
            "fax_number": "956-781-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DME & SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "LEDEZMA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-781-4004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0087790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180374402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180374401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frances Margaret Estevis, OTR
• Evara Home Care LLC
• External Holding Co LLC (External Professional Services)
• F & D Group LLC (Doctor's DME)
• Faith Home Care, Inc
• Faith Home Care, Inc
• Family Vision Care, PA (Family Vision Care)

• Durable Medical Equipment & Medical Supplies in Pharr, TX
• Providers in Pharr, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.