Nizhoni Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

NIZHONI MEDICAL SUPPLY INC

Practice address

1303 Metro Ave
Gallup, NM 87301-5376

Phone

(505) 863-9199

Fax

(505) 863-9219

NPI assigned

Oct 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. Vernon Dakai Warner I

Title

Secretary

Phone

(505) 863-9199

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1497848543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 METRO DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014862",
            "telephone_number": "505-863-9199",
            "fax_number": "505-863-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 METRO AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015376",
            "telephone_number": "505-863-9199",
            "fax_number": "505-863-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZHONI MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "DAKAI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "505-863-9199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGRATED HEALTH",
            "identifier": "N123894",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35488557",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER NUMBER",
            "identifier": "094395",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tram Thi Minh Nguyen, DDS
• Kathryn R Nichols, RN
• Lisa Marie Nichols, RN
• Ricardo Yamuel Nieves Rosa
• Erica Michelle Harker Niiha, PHARM.D.
• Nizhoni Professional Home Care
• Nizhoni Transportation Inc
• Marissa Anne Nolan, PHARM.D.
• Philip Andrew Norfleet, DDS
• Denise A. Norman, RPH

• Oxygen Equipment & Supplies (DME) in Gallup, NM
• Providers in Gallup, NM by specialty
• Oxygen Equipment & Supplies (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.