Organization Active NPI

Shalem Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Sunnyvale, TX
National Provider Identifier
1740354521
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0066969 Issued in TX
Legal business name
SHALEM MEDICAL SUPPLIES INC
Doing business as
Texas Star HMES
Practice address
2611 N Belt Line Rd
113
Sunnyvale, TX 75182-9301
Phone
(972) 222-9263
Fax
(972) 226-6096
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mr. Johnson George
Title
Director
Phone
(972) 222-9263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0066969 TX Primary

Addresses

Primary practice location

2611 N Belt Line Rd
113
Sunnyvale, TX 75182-9301

Mailing address

PO Box 850436
Mesquite, TX 75185-0436
Phone (972) 222-9263

Other identifiers 3

IdentifierTypeStateIssuer
1551566-01MedicaidTX
1551566-02MedicaidTX
531465OtherTXBLUECROSS BLUESHIELD TX

Other names 1

  • Texas Star HMES Doing business as

National Provider Directory

National Provider Directory

Locations

12068 Forestgate Dr
Ste A
Dallas, TX 75243
Phone (972) 222-9263

2611 N Belt Line Rd
Ste 113
Sunnyvale, TX 75182
Phone (972) 222-9263

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1740354521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850436",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850436",
            "telephone_number": "972-222-9263",
            "fax_number": "972-226-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N BELT LINE RD",
            "address_2": "113",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829301",
            "telephone_number": "972-222-9263",
            "fax_number": "972-226-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALEM MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-222-9263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0066969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551566-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551566-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TX",
            "identifier": "531465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Star HMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.