Organization Active NPI

Conns LLC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1598884595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CONNS LLC
Practice address
1331 Juan Tabo Blvd NE
# C
Albuquerque, NM 87112-4462
Phone
(505) 883-7276
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Strohacker
Title
Manager
Phone
(505) 293-1705

Specialties & licenses 1

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

Addresses

Primary practice location

1331 Juan Tabo Blvd NE
# C
Albuquerque, NM 87112-4462

Mailing address

PO Box 14239
Albuquerque, NM 87191-4239

Other identifiers 1

IdentifierTypeStateIssuer
Z2606MedicaidNM

National Provider Directory

National Provider Directory

Locations

1331 Juan Tabo Blvd NE
Ste C
Albuquerque, NM 87112
Phone (505) 883-7276

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598884595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14239",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 JUAN TABO BLVD NE",
            "address_2": "# C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124462",
            "telephone_number": "505-883-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROHACKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-293-1705"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z2606",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.