Organization Active NPI

Ritecare Medical Supply Incorporated

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Allen, TX
National Provider Identifier
1861426801
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0056215 Issued in TX
Legal business name
RITECARE MEDICAL SUPPLY INCORPORATED
Practice address
717 S Greenville Ave Ste 102
Allen, TX 75002-3318
Phone
(972) 396-0871
Fax
(972) 396-2032
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. Martin Oliver Etim
Title
President/Ceo
Phone
(972) 396-0871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0056215 TX Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0056215 TX

Addresses

Primary practice location

717 S Greenville Ave Ste 102
Allen, TX 75002-3318

Mailing address

717 S Greenville Ave Ste 102
Allen, TX 75002-3318
Phone (972) 396-0871

National Provider Directory

National Provider Directory

Locations

105 N Greenville Ave
Ste 12
Allen, TX 75002
Phone (972) 396-0871

717 S Greenville Ave
Ste 102
Allen, TX 75002
Phone (972) 396-0871

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1861426801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S GREENVILLE AVE STE 102",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023318",
            "telephone_number": "972-396-0871",
            "fax_number": "972-396-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S GREENVILLE AVE STE 102",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023318",
            "telephone_number": "972-396-0871",
            "fax_number": "972-396-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITECARE MEDICAL SUPPLY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "ETIM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "972-396-0871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0056215",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0056215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.