Amicable Medical Supplies and Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0086573 Issued in TX

Legal business name

AMICABLE MEDICAL SUPPLIES AND EQUIPMENT, INC.

Practice address

1601 Osprey Dr
Suite 206
Desoto, TX 75115-8818

Phone

(972) 289-5200

Fax

(469) 533-1555

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Emmanuel S Uke

Title

President

Phone

(972) 289-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1477520161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OSPREY DR",
            "address_2": "SUITE 206",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158818",
            "telephone_number": "972-289-5200",
            "fax_number": "469-533-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OSPREY DR",
            "address_2": "SUITE 206",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158818",
            "telephone_number": "972-289-5200",
            "fax_number": "469-533-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICABLE MEDICAL SUPPLIES AND EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "UKE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-289-5200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178729301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178729302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Desoto, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.