Organization Active NPI

Legacy DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1750543583
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LEGACY DME, LLC
Practice address
1900 S Jackson
Ste 5
McAllen, TX 78503-1589
Phone
(956) 687-3631
Fax
(956) 687-3633
NPI assigned
Jul 2, 2008
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Mr. Marcos Lopez Jr.
Title
Administrator
Phone
(956) 687-3631

Specialties & licenses 1

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

Addresses

Primary practice location

1900 S Jackson
Ste 5
McAllen, TX 78503-1589

Mailing address

505 Angelita Dr
Ste 7
Weslaco, TX 78596-4693
Phone (956) 358-4572

Other identifiers 1

IdentifierTypeStateIssuer
203367202MedicaidTX

National Provider Directory

National Provider Directory

Locations

1900 S Jackson Rd
Ste 5
McAllen, TX 78503
Phone (956) 686-7761

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1750543583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ANGELITA DR",
            "address_2": "STE 7",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964693",
            "telephone_number": "956-358-4572",
            "fax_number": "956-583-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON",
            "address_2": "STE 5",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-687-3631",
            "fax_number": "956-687-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-687-3631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203367202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.