Organization Active NPI

Alpha M Supply LLC

  • Dialysis Equipment & Supplies (DME)
  • Austin, TX
National Provider Identifier
1639055841
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
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

Updated by the provider on Aug 13, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.