Active NPI
Stars and Stripes Medical LLC
- Durable Medical Equipment & Medical Supplies
- Bardstown, KY
National Provider Identifier
1780920058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- STARS AND STRIPES MEDICAL LLC
- Practice address
- 301 W. Stephen Foster Ave
Suite B.
Bardstown, KY 40004 - Phone
- (502) 724-7883
- Fax
- (502) 290-1291
- NPI assigned
- Dec 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald P. Coyle, RPSGT, RST
- Title
- Ceo/Member
- Phone
- (502) 724-7883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
301 W. Stephen Foster Ave
Suite B.
Bardstown, KY 40004
Mailing address
PO Box 449
Crestwood, KY 40014-0449
Phone (502) 724-7883
National Provider Directory
National Provider DirectoryLocations
301 W Stephen Foster Ave
Ste B
Bardstown, KY 40004
Phone (502) 724-7883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1780920058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400140449",
"telephone_number": "502-724-7883",
"fax_number": "502-290-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W. STEPHEN FOSTER AVE",
"address_2": "SUITE B.",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "40004",
"telephone_number": "502-724-7883",
"fax_number": "502-290-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARS AND STRIPES MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-14",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "COYLE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "CEO/MEMBER",
"authorized_official_telephone_number": "502-724-7883",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPSGT, RST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.