Organization Active NPI

Olympic Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1588863575
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLYMPIC MEDICAL SUPPLY
Practice address
15802 Lindo
Corpus Christi, TX 78418-6567
Phone
(361) 765-8968
NPI assigned
Jul 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Emmanuel Polakis
Title
Ceo
Phone
(361) 765-8968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

15802 Lindo
Corpus Christi, TX 78418-6567

Mailing address

15802 Lindo
Corpus Christi, TX 78418-6567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588863575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 LINDO",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 LINDO",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186567",
            "telephone_number": "361-765-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLAKIS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-765-8968"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.