Active NPI
Star Med Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
National Provider Identifier
1407326911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DMEHS7936 | Other | TN | DMEHS |
National Provider Directory
National Provider DirectoryLocations
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.