The Oxygen Store, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

THE OXYGEN STORE, INC

Practice address

115 John Maddox Dr NW
Rome, GA 30165-1419

Phone

(706) 290-1330

Fax

(706) 290-1332

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Earl Walton Dunlap

Title

President

Phone

(706) 290-1330

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oxygen and More3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Oxygen Store, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ringgold, GA
  • NPI 1942453931
  NPD tax ID
• The Oxygen Store, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Soddy Daisy, TN
  • NPI 1740433739
  NPD tax ID

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831287986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-290-1330",
            "fax_number": "706-290-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-290-1330",
            "fax_number": "706-290-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OXYGEN STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-290-1330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00953345A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Rome, GA
• Providers in Rome, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• 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.