The Mobility Store Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE MOBILITY STORE INC.

Doing business as

The Mobility Store Inc.

Practice address

5544 Kostoryz Rd
Corpus Christi, TX 78415-2418

Phone

(361) 814-5438

Fax

(361) 857-6235

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary J Martinez

Title

President

Phone

(361) 814-5438

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Mobility Store Inc. Doing business as

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1437188281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 KOSTORYZ RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152418",
            "telephone_number": "361-814-5438",
            "fax_number": "512-857-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 KOSTORYZ RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152418",
            "telephone_number": "361-814-5438",
            "fax_number": "361-857-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-814-5438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194569301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194569302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mobility Store Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.