Mam Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2000087.424 Issued in NV

Legal business name

MAM MEDICAL SUPPLY INC.

Practice address

2300 E Desert Inn Rd
Ste 2
Las Vegas, NV 89109-3233

Phone

(702) 369-0510

Fax

(702) 369-9846

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Ana A. Beaver

Title

President

Phone

(702) 369-0510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750387114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E DESERT INN RD",
            "address_2": "STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093233",
            "telephone_number": "702-369-0510",
            "fax_number": "702-369-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E DESERT INN RD",
            "address_2": "STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093233",
            "telephone_number": "702-369-0510",
            "fax_number": "702-369-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAM MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-369-0510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "2000087.424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV. ST. BOARD OF PHARMACY",
            "identifier": "MP00124",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allan Mamaclay

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• 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.