Organization Active NPI

Star Med Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
National Provider Identifier
1407326911
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAR MED SUPPLIES LLC
Practice address
1235 Antioch Pike Unit B
Nashville, TN 37211-3103
Phone
(615) 348-6651
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Mr. Edgar Enriquez
Title
President
Phone
(615) 348-6651

Specialties & licenses 1

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

Addresses

Primary practice location

1235 Antioch Pike Unit B
Nashville, TN 37211-3103

Mailing address

1235 Antioch Pike Unit B
Nashville, TN 37211-3103
Phone (615) 348-6651

Other identifiers 1

IdentifierTypeStateIssuer
DMEHS7936OtherTNDMEHS

National Provider Directory

National Provider Directory

Locations

1235 Antioch Pike
#B
Nashville, TN 37211

1235 Antioch Pike
Unit B
Nashville, TN 37211
Phone (615) 348-6651

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1407326911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 ANTIOCH PIKE UNIT B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113103",
            "telephone_number": "615-348-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 ANTIOCH PIKE UNIT B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113103",
            "telephone_number": "615-348-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MED SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-348-6651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEHS",
            "identifier": "DMEHS7936",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.