Organization Active NPI

San Antonio Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1659633873
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000945 Issued in TX
Legal business name
SAN ANTONIO MEDICAL SUPPLIES LLC
Practice address
1800 NE Loop 410
San Antonio, TX 78217-5213
Phone
(210) 737-7267
Fax
(210) 737-7262
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Mrs. Andrea L Zuflacht-CukjatiNPI 1407949324
Title
M.S. - LPC-S
Phone
(210) 737-7267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000945 TX Primary

Addresses

Primary practice location

1800 NE Loop 410
San Antonio, TX 78217-5213

Mailing address

PO Box 100456
San Antonio, TX 78201-1756
Phone (210) 737-7267

Other identifiers 1

IdentifierTypeStateIssuer
308842902MedicaidTX

Other names 1

  • San Antonio Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

1800 NE Loop 410
Ste 408
San Antonio, TX 78217
Phone (210) 737-7267

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1659633873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100456",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011756",
            "telephone_number": "210-737-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175213",
            "telephone_number": "210-737-7267",
            "fax_number": "210-737-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "ZUFLACHT-CUKJATI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.S. - LPC-S",
        "authorized_official_telephone_number": "210-737-7267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308842902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.