3Rd St Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

3RD ST MEDICAL SUPPLY INC

Practice address

5750 N Sam Houston Pkwy E
Suite 513
Houston, TX 77032-4090

Phone

(888) 258-0602

NPI assigned

Mar 13, 2012

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noha Abdellatif

Title

Ceo

Phone

(888) 258-0602

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• 3Rd St Medical Supply Inc

  dba Dynamic Repair Solutions

  • Durable Medical Equipment & Medical Supplies
  • Lansing, MI
  • NPI 1013335769

  2769634468

  Same PAC ID
• 3Rd St Medical Supply, Inc.

  dba Dynamic Repair Network

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
  • NPI 1710305461

  2769634468

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

3Rd St Medical Supply Inc3 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.

• 3Rd St Medical Supply Inc

  dba Dynamic Repair Solutions

  • Durable Medical Equipment & Medical Supplies
  • Lansing, MI
  • NPI 1013335769
  NPD tax ID
• 3Rd St Medical Supply, Inc.

  dba Dynamic Repair Network

  • Durable Medical Equipment & Medical Supplies
  • Santa Ana, CA
  • NPI 1710305461
  NPD tax ID

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1669747390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 513",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770324090",
            "telephone_number": "888-258-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 513",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770324090",
            "telephone_number": "888-258-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RD ST MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "ABDELLATIF",
        "authorized_official_first_name": "NOHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-258-0602"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669747390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.