Nickes Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NICKES MEDICAL SUPPLY, LLC

Practice address

2820 N Stanton St
El Paso, TX 79902-2509

Phone

(915) 633-3724

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Ngozi Kathleen Austin-Eleje

Title

Manager

Phone

(915) 533-8870

Specialties & licenses 1

Addresses

Tax ID family

Nickes Medical Supply LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Nickes Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CA
  • NPI 1336781020
  NPD tax ID
• Nickes Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, AL
  • NPI 1508408295
  NPD tax ID
• Nickes Medical Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
  • NPI 1154983880
  NPD tax ID

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1447716782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022509",
            "telephone_number": "915-633-3724",
            "fax_number": "915-633-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022509",
            "telephone_number": "915-633-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 4th St Bldg 227",
            "address_purpose": "LOCATION",
            "city": "Holloman Air Force Base",
            "state": "NM",
            "postal_code": "883308003",
            "country_code": "US",
            "telephone_number": "575-479-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Meyer Ave Bldg 166",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681132000",
            "country_code": "US",
            "telephone_number": "402-281-3212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 N. Telluride St",
            "address_2": "Buckley AFB",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800117990",
            "country_code": "US",
            "telephone_number": "915-633-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICKES MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "AUSTIN-ELEJE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-533-8870"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Nicholson, L.P.C.
• Tyler Clare Nicholson, MD
• Nils P Nickel
• Mary Ann Nickerson, M.D.
• Nickes Medical Supply, LLC
• Nicolas Baida Fragoso MD PLLC
• Nicolas Rich Jr MD Faap PA
• Nicsam Behavioral Health (The self love clinic)
• Lindsey Marie Niehay, M.D.
• Dana Nielsen, CCC-SLP

• Durable Medical Equipment & Medical Supplies in El Paso, TX
• Providers in El Paso, 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 Feb 12, 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.