Organization Active NPI

Agape Traders

Doing business as Lili Clarke, inc

  • Customized Equipment (DME)
  • East Stroudsburg, PA
National Provider Identifier
1528607223
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
AGAPE TRADERS
Doing business as
Lili Clarke, inc
Practice address
562 Independence Rd Ste 142
East Stroudsburg, PA 18301-9702
Phone
(610) 608-0890
NPI assigned
Dec 27, 2019
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Miss Lirieth West
Title
Ceo
Phone
(610) 608-0890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

562 Independence Rd Ste 142
East Stroudsburg, PA 18301-9702

Mailing address

562 Independence Rd Ste 142
East Stroudsburg, PA 18301-9702
Phone (610) 608-0890

Other names 1

  • Lili Clarke, inc Doing business as

National Provider Directory

National Provider Directory

Locations

562 Independence Rd
Ste 142
East Stroudsburg, PA 18301
Phone (610) 608-0890

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1528607223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 INDEPENDENCE RD STE 142",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019702",
            "telephone_number": "610-608-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 INDEPENDENCE RD STE 142",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019702",
            "telephone_number": "610-608-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE TRADERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "LIRIETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-608-0890",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lili Clarke, inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lili Clarke, inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.