Organization Active NPI

Stars and Stripes Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Bardstown, KY
National Provider Identifier
1780920058
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mr. Donald P. Coyle, RPSGT, RSTNPI 1538436696
Title
Ceo/Member
Phone
(502) 724-7883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

301 W Stephen Foster Ave
Ste B
Bardstown, KY 40004
Phone (502) 724-7883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.