NPIMap

Organization Active NPI

Menax Health Care & Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1669609145
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MENAX HEALTH CARE & MEDICAL SUPPLY
Practice address
250 Langley Drive Suite # 1112-B
Office Plaza Park
Lawrenceville, GA 30046-3652
Phone
(770) 572-0794
Fax
(770) 573-1765
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Mr. Louis M Chukwurah, CEO
Title
Administrator
Phone
(770) 572-0794

Specialties & licenses 1

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

Addresses

Primary practice location

250 Langley Drive Suite # 1112-B
Office Plaza Park
Lawrenceville, GA 30046-3652

Mailing address

250 Langley Drive Suite # 1112-B
Office Plaza Park
Lawrenceville, GA 30046-3652
Phone (770) 572-0794

Other names 1

  • MEDICAL SUPPLY Other name

National Provider Directory

National Provider Directory
Tax ID family
Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Langley Dr
Ste 1112B
Lawrenceville, GA 30046
Phone (770) 572-0794

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1669609145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DRIVE SUITE # 1112-B",
            "address_2": "OFFICE PLAZA PARK",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463652",
            "telephone_number": "770-572-0794",
            "fax_number": "770-573-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DRIVE SUITE # 1112-B",
            "address_2": "OFFICE PLAZA PARK",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463652",
            "telephone_number": "770-572-0794",
            "fax_number": "770-573-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENAX HEALTH CARE & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "CHUKWURAH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-572-0794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL SUPPLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.