NPIMap

Organization Active NPI

Pure Air Oxygen Supply, LLC

  • Oxygen Equipment & Supplies (DME)
  • Alice, TX
National Provider Identifier
1720477375
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1001143 Issued in TX
Legal business name
PURE AIR OXYGEN SUPPLY, LLC
Practice address
1152 E 2ND St
Suite C
Alice, TX 78332-5016
Phone
(361) 453-7416
Fax
(361) 453-7431
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mr. Leonel Rivera, RN-BSN
Title
Owner
Phone
(361) 563-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1001143 TX Primary

Addresses

Primary practice location

1152 E 2ND St
Suite C
Alice, TX 78332-5016

Mailing address

1152 E 2ND St
Suite C
Alice, TX 78332-5016
Phone (361) 453-7416

National Provider Directory

National Provider Directory

Locations

1152 E 2nd St
Ste C
Alice, TX 78332
Phone (361) 453-7416

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1720477375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 E 2ND ST",
            "address_2": "SUITE C",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783325016",
            "telephone_number": "361-453-7416",
            "fax_number": "361-453-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 E 2ND ST",
            "address_2": "SUITE C",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783325016",
            "telephone_number": "361-453-7416",
            "fax_number": "361-453-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE AIR OXYGEN SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-563-3352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "1001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.