NPIMap

Organization Active NPI

His Grace Medical Supply and More

  • Durable Medical Equipment & Medical Supplies
  • Arlington, TX
National Provider Identifier
1871763185
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0100320 Issued in TX
Legal business name
HIS GRACE MEDICAL SUPPLY AND MORE
Practice address
1901 Southeast Pkwy
Suite 106
Arlington, TX 76018-3605
Phone
(817) 557-1668
NPI assigned
Mar 4, 2008
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Pamela O. AdenugaNPI 1639370356
Title
Managing Employee
Phone
(817) 557-1668

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 0100320 TX Primary

Addresses

Primary practice location

1901 Southeast Pkwy
Suite 106
Arlington, TX 76018-3605

Mailing address

PO Box 153202
Arlington, TX 76015-9202
Phone (817) 557-1668

National Provider Directory

National Provider Directory
Tax ID family
Pamela Adenuga2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1871763185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760159202",
            "telephone_number": "817-557-1668",
            "fax_number": "888-441-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTHEAST PKWY",
            "address_2": "SUITE 106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183605",
            "telephone_number": "817-557-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE MEDICAL SUPPLY AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "ADENUGA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "817-557-1668"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0100320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.