Organization Active NPI

Scorpio Distro LLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1669274023
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCORPIO DISTRO LLC
Practice address
11528 Harry Hines Blvd Ste A114
Dallas, TX 75229-8128
Phone
(945) 297-5013
NPI assigned
Mar 26, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Eliyan Memon
Title
Director
Phone
(945) 297-5013

Specialties & licenses 1

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

Addresses

Primary practice location

11528 Harry Hines Blvd Ste A114
Dallas, TX 75229-8128

Mailing address

11528 Harry Hines Blvd Ste A114
Dallas, TX 75229-8128
Phone (945) 297-5013

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1669274023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11528 HARRY HINES BLVD STE A114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752298128",
            "telephone_number": "945-297-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11528 HARRY HINES BLVD STE A114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752298128",
            "telephone_number": "945-297-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCORPIO DISTRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "ELIYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "945-297-5013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.