K & M Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

K & M MEDICAL SUPPLY, INC.

Practice address

11901 Shadow Creek Pkwy
Suite 103
Pearland, TX 77584-7346

Phone

(713) 822-2945

Fax

(281) 741-0954

NPI assigned

Dec 14, 2009

Last updated

Nov 15, 2011By 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

Mrs. Mattie Mae Tyo

Title

Office Manager

Phone

(713) 822-2945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1801125240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PARKWAY",
            "address_2": "#330",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77489",
            "telephone_number": "713-822-2945",
            "fax_number": "281-403-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SHADOW CREEK PKWY",
            "address_2": "SUITE 103",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847346",
            "telephone_number": "713-822-2945",
            "fax_number": "281-741-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & M MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "TYO",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-822-2945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.