Organization Active NPI

Galaxy Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1740272764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0079993 Issued in TX
Legal business name
GALAXY MEDICAL SUPPLY, LLC
Practice address
6430 Richmond Ave
Suite # 250-14
Houston, TX 77057-5917
Phone
(713) 974-4600
Fax
(713) 974-4602
NPI assigned
Aug 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Enitan Osagie Isiwele
Title
Managing Member
Phone
(713) 974-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0079993 TX Primary

Addresses

Primary practice location

6430 Richmond Ave
Suite # 250-14
Houston, TX 77057-5917

Mailing address

6430 Richmond Ave
Suite # 250-14
Houston, TX 77057-5917
Phone (713) 974-4600

National Provider Directory

National Provider Directory

Locations

6430 Richmond Ave
Ste 250-14
Houston, TX 77057
Phone (713) 974-4600

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740272764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "SUITE # 250-14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "713-974-4600",
            "fax_number": "713-974-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 RICHMOND AVE",
            "address_2": "SUITE # 250-14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575917",
            "telephone_number": "713-974-4600",
            "fax_number": "713-974-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISIWELE",
        "authorized_official_first_name": "ENITAN",
        "authorized_official_middle_name": "OSAGIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-974-4600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0079993",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.