Rosie L Ray

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

24616264206 Issued in TX

Legal business name

ROSIE L RAY

Doing business as

Scooter Warehouse & Medical

Practice address

3562 Knickerbocker Rd
San Angelo, TX 76904-7611

Phone

(325) 949-9956

Fax

(325) 223-2933

NPI assigned

Jun 29, 2005

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ralph J Dreyer

Title

Manager

Phone

(210) 593-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SCOOTER WAREHOUSE & MEDICAL Doing business as

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1740287358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "address_2": "SUITE111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-593-0400",
            "fax_number": "210-593-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 KNICKERBOCKER RD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047611",
            "telephone_number": "325-949-9956",
            "fax_number": "325-223-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIE L RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "DREYER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-593-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "24616264206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146325902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146325901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOOTER WAREHOUSE & MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.