Organization Active NPI

Oxford Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1780877852
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4947120001 Issued in MO
Legal business name
OXFORD MEDICAL SUPPLIES LLC
Practice address
11863 Benham Rd
Suite LL
Saint Louis, MO 63138-1308
Phone
(314) 438-0033
Fax
(866) 234-0518
NPI assigned
Aug 22, 2007
Organization subpart
Yes
Parent organization
OXFORD MEDICAL SUPPLIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mr. Kwaku Boafo Manu
Title
President
Phone
(314) 438-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4947120001 MO Primary

Addresses

Primary practice location

11863 Benham Rd
Suite LL
Saint Louis, MO 63138-1308

Mailing address

11863 Benham Rd
Suite LL
Saint Louis, MO 63138-1308
Phone (314) 438-0033

National Provider Directory

National Provider Directory
Part of
Oxford Medical Supplies LLC

Locations

11863 Benham Rd
Ste Ll
Saint Louis, MO 63138
Phone (314) 438-0033

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1780877852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11863 BENHAM RD",
            "address_2": "SUITE LL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381308",
            "telephone_number": "314-438-0033",
            "fax_number": "866-234-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11863 BENHAM RD",
            "address_2": "SUITE LL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381308",
            "telephone_number": "314-438-0033",
            "fax_number": "866-234-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD MEDICAL SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OXFORD MEDICAL SUPPLIES LLC",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MANU",
        "authorized_official_first_name": "KWAKU",
        "authorized_official_middle_name": "BOAFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-438-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "4947120001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.