Active NPI
Alpha M Supply LLC
- Dialysis Equipment & Supplies (DME)
- Austin, TX
National Provider Identifier
1639055841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- Legal business name
- ALPHA M SUPPLY LLC
- Practice address
- 701 Tillery St Ste 12-2990
Austin, TX 78702-3738 - Phone
- (469) 915-5044
- NPI assigned
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blake Jenkins
- Title
- Authorized Official
- Phone
- (469) 915-5044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | Primary |
Addresses
Primary practice location
701 Tillery St Ste 12-2990
Austin, TX 78702-3738
Mailing address
701 Tillery St Ste 12-2990
Austin, TX 78702-3738
National Provider Directory
National Provider DirectoryLocations
701 Tillery St
Ste 122990
Austin, TX 78702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1639055841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 TILLERY ST STE 12-2990",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 TILLERY ST STE 12-2990",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023738",
"telephone_number": "469-915-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA M SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BLAKE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "469-915-5044"
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.