NPIMap

Organization Active NPI

On Time Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1700961356
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
92761 Issued in TX
Legal business name
ON TIME MEDICAL SUPPLIES
Practice address
14455 Cullen Blvd
Suite C1
Houston, TX 77047-4800
Phone
(713) 731-0880
Fax
(713) 731-2005
NPI assigned
Oct 25, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Medrick Mason MorrisNPI 1710128012
Title
Chief Financial Officer
Phone
(713) 443-8003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 92761 TX Primary

Addresses

Primary practice location

14455 Cullen Blvd
Suite C1
Houston, TX 77047-4800

Mailing address

14455 Cullen Blvd
Suite C1
Houston, TX 77047-4800
Phone (713) 731-0880

Other identifiers 2

IdentifierTypeStateIssuer
2147738-02DM2MedicaidTX
2147738-01CCPMedicaidTX

National Provider Directory

National Provider Directory

Locations

14455 Cullen Blvd
Ste C1
Houston, TX 77047
Phone (713) 731-0880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1700961356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 CULLEN BLVD",
            "address_2": "SUITE C1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474800",
            "telephone_number": "713-731-0880",
            "fax_number": "713-731-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 CULLEN BLVD",
            "address_2": "SUITE C1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474800",
            "telephone_number": "713-731-0880",
            "fax_number": "713-731-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TIME MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MEDRICK",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-443-8003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "92761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147738-02DM2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147738-01CCP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • 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.