Alpha Advantage

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in WA

Legal business name

ALPHA ADVANTAGE

Practice address

1119 Pacific Ave FL 5
Tacoma, WA 98402-4374

Phone

(253) 284-3262

Fax

(253) 627-8783

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeretha Marbury

Title

Ceo

Phone

(253) 284-3255

Specialties & licenses 1

Addresses

Other names 1

• MarWilson Former legal business name

Tax ID family

Alpha Advantage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alpha Advantage Mco

  • Customized Equipment (DME)
  • Lakewood, WA
  • NPI 1841568953
  NPD tax ID

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1518157320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PACIFIC AVE FL 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024374",
            "telephone_number": "253-284-3262",
            "fax_number": "253-627-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 PACIFIC AVE FL 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024374",
            "telephone_number": "253-284-3262",
            "fax_number": "253-627-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "MARBURY",
        "authorized_official_first_name": "JERETHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-284-3255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MarWilson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Farah Almounaier
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• Aloha Air Services
• Shelby Ann Alongi
• William F. Alonso
• Alpha Healthcare Group, LLC
• Alpine Counseling Services, LLP
• Alpine Counseling, LLP
• Fahad Alroumi, M.D.
• Michael Timothy Alston, MD

• Durable Medical Equipment & Medical Supplies in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.