Saint Benedict Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46170 Issued in CA

Legal business name

SAINT BENEDICT MEDICAL SUPPLY, INC

Practice address

1324 Texas St
Fairfield, CA 94533-5919

Phone

(707) 399-9090

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Benedict Tolulani Adeyemi

Title

Ceo/Owner

Phone

(707) 386-6528

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAINT BENEDICT MEDICAL & DENTAL SUPPLY Other name

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699876573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 TEXAS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335919",
            "telephone_number": "707-399-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 TEXAS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335919",
            "telephone_number": "707-399-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT BENEDICT MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_middle_name": "TOLULANI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "707-386-6528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR RETAIL LICENSE",
            "identifier": "46170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT BENEDICT MEDICAL & DENTAL SUPPLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Charmel L. Sala
• Elizabeth Salas
• Anne T Salassi, LCSW
• Andrea Salazar

• Durable Medical Equipment & Medical Supplies in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.