Organization Active NPI

Colonial Medical Supply Company

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1821171893
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0066537 Issued in TX
Legal business name
COLONIAL MEDICAL SUPPLY COMPANY
Practice address
3433 W Kingsley Rd Ste 9
Garland, TX 75041-2223
Phone
(972) 864-5667
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chike Nkwonta
Title
Owner
Phone
(972) 864-5667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0066537 TX Primary

Addresses

Primary practice location

3433 W Kingsley Rd Ste 9
Garland, TX 75041-2223

Mailing address

3433 W Kingsley Rd Ste 9
Garland, TX 75041-2223
Phone (972) 864-5667

National Provider Directory

National Provider Directory

Locations

3433 W Kingsley Rd
Ste 9
Garland, TX 75041
Phone (972) 864-5667

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821171893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 W KINGSLEY RD STE 9",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412223",
            "telephone_number": "972-864-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W KINGSLEY RD STE 9",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412223",
            "telephone_number": "972-864-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NKWONTA",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-864-5667"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0066537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.