Quality Care Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1420716 Issued in NY

Legal business name

QUALITY CARE MEDICAL SUPPLY

Practice address

11551 237TH St
Elmont, NY 11003-3924

Phone

(191) 770-1514

Fax

(516) 612-2542

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Evans O. Alawuru

Title

President

Phone

(917) 701-5143

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1669616728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 237TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033924",
            "telephone_number": "191-770-1514",
            "fax_number": "516-612-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 237TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033924",
            "telephone_number": "191-770-1514",
            "fax_number": "516-612-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "ALAWURU",
        "authorized_official_first_name": "EVANS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-701-5143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "1420716",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NY",
            "license": "1420716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK CITY",
            "identifier": "1420716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Pugo
• Crystal Janice Purcell, RN
• David Shelton Purcell, RN
• Princeness Purcell, LPN
• Claudia Pyke
• Pamela Quansah, SLP
• Fratianne Racine
• Saju Mathew Rajan, PHARM.D
• Tony Oommen Raju, MS OTR/L
• Rose Rameau

• Durable Medical Equipment & Medical Supplies in Elmont, NY
• Providers in Elmont, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

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