Medical Depot, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0104583 Issued in TX

Legal business name

MEDICAL DEPOT, INC

Practice address

7311 Ardmore St
BLDG a & B
Houston, TX 77054-4205

Phone

(713) 440-6017

Fax

(713) 747-9076

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Leah Lorane Kennedy

Title

Owner

Phone

(713) 440-6017

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1669611372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 ARDMORE ST",
            "address_2": "BLDG A & B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544205",
            "telephone_number": "713-440-6017",
            "fax_number": "713-747-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 ARDMORE ST",
            "address_2": "BLDG A & B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544205",
            "telephone_number": "713-440-6017",
            "fax_number": "713-747-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DEPOT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "LORANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-440-6017"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0104583",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0104583",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0104583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF HEALTH",
            "identifier": "0104583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Houston, TX
• Providers in Houston, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

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