NPIMap

Organization Active NPI

Option 1 Nutrition Solutions LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Albuquerque, NM
National Provider Identifier
1609954965
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
OPTION 1 NUTRITION SOLUTIONS LLC
Practice address
3600 Osuna Rd NE
Albuquerque, NM 87109-4426
Phone
(480) 883-1188
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
James Lloyd Wiley
Title
President Ceo
Phone
(480) 883-1188

National Provider Directory

National Provider Directory
Tax ID family
Option 1 Nutrition Solutions LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3600 Osuna Rd NE
Albuquerque, NM 87109
Phone (480) 883-1188

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

NPPES NPI Registry

Primary practice location

3600 Osuna Rd NE
Albuquerque, NM 87109-4426

Mailing address

PO Box 841042
Dallas, TX 75284-1042
Phone (480) 883-1188

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
41970721MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2007.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1609954965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841042",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841042",
            "telephone_number": "480-883-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OSUNA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094426",
            "telephone_number": "480-883-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION 1 NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "480-883-1188"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41970721",
            "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 Oct 9, 2007; 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.