Organization Active NPI

Buckeye Medical Supply Company Inc

  • Durable Medical Equipment & Medical Supplies
  • South Euclid, OH
National Provider Identifier
1669509659
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BUCKEYE MEDICAL SUPPLY COMPANY INC
Practice address
1495 Warrensville Center Road
South Euclid, OH 44121-2665
Phone
(216) 381-4830
Fax
(216) 381-4832
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Mr. Eric M Buller
Title
President
Phone
(216) 381-4830

Specialties & licenses 1

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

Addresses

Primary practice location

1495 Warrensville Center Road
South Euclid, OH 44121-2665

Mailing address

1495 Warrensville Center Road
South Euclid, OH 44121-2665
Phone (216) 381-4830

Other identifiers 1

IdentifierTypeStateIssuer
2039752MedicaidOH

National Provider Directory

National Provider Directory

Locations

1495 Warrensville Center Rd
South Euclid, OH 44121
Phone (216) 381-4830

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1669509659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 WARRENSVILLE CENTER ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212665",
            "telephone_number": "216-381-4830",
            "fax_number": "216-381-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 WARRENSVILLE CENTER ROAD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212665",
            "telephone_number": "216-381-4830",
            "fax_number": "216-381-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE MEDICAL SUPPLY COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "BULLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-381-4830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.