Organization Active NPI

Alphadry Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Salem, OR
National Provider Identifier
1407887151
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHADRY MEDICAL, LLC
Practice address
1211 Edgewater St NW
Suite 2
Salem, OR 97304-4073
Phone
(503) 375-9193
Fax
(503) 296-5855
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bob Issac Cantrell
Title
President
Phone
(503) 522-8078

Specialties & licenses 1

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

Addresses

Primary practice location

1211 Edgewater St NW
Suite 2
Salem, OR 97304-4073

Mailing address

1211 Edgewater St NW
Suite 2
Salem, OR 97304-4073
Phone (503) 375-9193

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407887151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 EDGEWATER ST NW",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044073",
            "telephone_number": "503-375-9193",
            "fax_number": "503-296-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 EDGEWATER ST NW",
            "address_2": "SUITE 2",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044073",
            "telephone_number": "503-375-9193",
            "fax_number": "503-296-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHADRY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "ISSAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-522-8078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.