Chad E Sullivan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0059509 Issued in TX

Legal business name

CHAD E SULLIVAN

Doing business as

C & S Medical Supply

Practice address

4104 Yellowstone Dr
Pasadena, TX 77504-3427

Phone

(281) 991-8354

Fax

(281) 991-8352

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chad Sullivan

Title

Owner

Phone

(281) 991-8354

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• C & S Medical Supply Doing business as

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1609927185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 YELLOWSTONE DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043427",
            "telephone_number": "281-991-8354",
            "fax_number": "281-991-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 YELLOWSTONE DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043427",
            "telephone_number": "281-991-8354",
            "fax_number": "281-991-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD E SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-991-8354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TX",
            "license": "0059509",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0059509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148594801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "530853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & S Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Cerda, B.A. SLP-ASSISTANT
• Edith Cervantes
• Karen Perez Cervantes, FNP
• Anu Anyan Chackacherry, PHARMD
• Erika Chaconas, MD
• Ansela Chaluparambil, FNP
• Chambers County Public Hospital District No 1 (Focused Care at Pasadena)
• Chambers County Public Hospital District No 1 (Baywood Crossing Rehabilitation & Healthcare Center)
• Donna K Chamblee, LPC
• Hong-Ta James Chan, RPH

• Durable Medical Equipment & Medical Supplies in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.