Simmco Distribution

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2013006920 Issued in MO

Legal business name

SIMMCO DISTRIBUTION

Practice address

4813 Lee Ave
Saint Louis, MO 63115-2111

Phone

(314) 389-3630

Fax

(314) 389-3630

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By 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

Quentin T Womack

Title

Vice President

Phone

(314) 324-9206

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1770824799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152111",
            "telephone_number": "314-389-3630",
            "fax_number": "314-389-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 LEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152111",
            "telephone_number": "314-389-3630",
            "fax_number": "314-389-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMCO DISTRIBUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-324-9206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2013006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Simaku, PHARM,D.
• David Elan Simckes, MD
• Rudy M Simeon, M.D.
• Erin C Simeone, OTR
• Beverly Hillier Simm, L.C.S.W
• Amanda Corrine Simmons, M.D.
• Angel Novel Simmons, OD
• Antonia Simmons
• Cameron Byrne Simmons, MD
• Christina Renee Simmons

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.