Organization Active NPI

Tristar Equipment & Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Stafford, TX
National Provider Identifier
1548040579
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRISTAR EQUIPMENT & MEDICAL SUPPLIES LLC
Doing business as
TRISTAR SUPPLIES NETWORK
Practice address
12705 S Kirkwood Rd Ste 203
Stafford, TX 77477-3813
Phone
(281) 302-5335
Fax
(281) 302-5390
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Mr. Funsho Samuel Fadipe
Title
General Manager
Phone
(713) 344-8975

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Dialysis Equipment & Supplies (DME) 332BD1200X
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

12705 S Kirkwood Rd Ste 203
Stafford, TX 77477-3813

Mailing address

12705 S Kirkwood Rd Ste 203
Stafford, TX 77477-3813
Phone (281) 302-5335

Other names 1

  • TRISTAR SUPPLIES NETWORK Doing business as

National Provider Directory

National Provider Directory

Locations

12705 S Kirkwood Rd
Ste 203
Stafford, TX 77477
Phone (281) 302-5335

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1548040579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 S KIRKWOOD RD STE 203",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773813",
            "telephone_number": "281-302-5335",
            "fax_number": "281-302-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 S KIRKWOOD RD STE 203",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773813",
            "telephone_number": "281-302-5335",
            "fax_number": "281-302-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR EQUIPMENT & MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "FUNSHO",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "713-344-8975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRISTAR SUPPLIES NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.