Organization Active NPI

Ricky Scott Hudson

Doing business as Horizon Ostomy Supply

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1689651788
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0077002 Issued in TX
Legal business name
RICKY SCOTT HUDSON
Doing business as
Horizon Ostomy Supply
Practice address
4659 Everhart Rd
Suite 214
Corpus Christi, TX 78411-2735
Phone
(361) 980-8080
Fax
(361) 980-8082
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Janet Hudson
Title
Manager
Phone
(361) 980-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0077002 TX Primary

Addresses

Primary practice location

4659 Everhart Rd
Suite 214
Corpus Christi, TX 78411-2735

Mailing address

PO Box 271456
Corpus Christi, TX 78427-1456
Phone (361) 980-8080

Other identifiers 2

IdentifierTypeStateIssuer
015997202MedicaidTX
087227702MedicaidTX

Other names 1

  • Horizon Ostomy Supply Doing business as

National Provider Directory

National Provider Directory

Locations

4659 Everhart Rd
Ste 214
Corpus Christi, TX 78411
Phone (361) 980-8080

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1689651788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271456",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271456",
            "telephone_number": "361-980-8080",
            "fax_number": "361-980-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4659 EVERHART RD",
            "address_2": "SUITE 214",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112735",
            "telephone_number": "361-980-8080",
            "fax_number": "361-980-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY SCOTT HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "361-980-8080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015997202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087227702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Ostomy Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.