Organization Active NPI

Somto Medical Supply and Home Health Care

  • Durable Medical Equipment & Medical Supplies
  • St Augustine, FL
National Provider Identifier
1770604258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
35707 Issued in FL
Legal business name
SOMTO MEDICAL SUPPLY AND HOME HEALTH CARE
Practice address
2825 Lewis Speedway
St Augustine, FL 32084-8668
Phone
(904) 347-4357
Fax
(904) 823-9541
NPI assigned
Apr 3, 2007
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
Dr. Imelda Azuoma Nwoga, 042452
Title
Businessowner
Phone
(904) 347-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 35707 FL Primary

Addresses

Primary practice location

2825 Lewis Speedway
St Augustine, FL 32084-8668

Mailing address

1205 Ellington CT
St Augustine, FL 32084-1832
Phone (904) 347-4357

National Provider Directory

National Provider Directory

Locations

2825 Lewis Speedway
St Augustine, FL 32084
Phone (904) 347-4357

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770604258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 ELLINGTON CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841832",
            "telephone_number": "904-347-4357",
            "fax_number": "904-823-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 LEWIS SPEEDWAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848668",
            "telephone_number": "904-347-4357",
            "fax_number": "904-823-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMTO MEDICAL SUPPLY AND HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWOGA",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "AZUOMA",
        "authorized_official_title_or_position": "BUSINESSOWNER",
        "authorized_official_telephone_number": "904-347-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "042452"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "35707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

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.