Roadrunner Home Medical Equipment,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

03-002816-00-7 Issued in NM

Legal business name

ROADRUNNER HOME MEDICAL EQUIPMENT,LLC

Practice address

2429 Quincy St NE Ste D
Albuquerque, NM 87110-4074

Phone

(505) 872-1352

Fax

(505) 872-1354

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Williams

Title

Owner

Phone

(505) 872-1352

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1689639395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 QUINCY ST NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104074",
            "telephone_number": "505-872-1352",
            "fax_number": "505-872-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 QUINCY ST NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104074",
            "telephone_number": "505-872-1352",
            "fax_number": "505-872-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER HOME MEDICAL EQUIPMENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-872-1352"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "03-002816-00-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81924534",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Toni Majel Roan, RT(R)(CT)
• Shelah Rachelle Roanhorse, NP

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.