Active NPI
Duramed, Inc
- Durable Medical Equipment & Medical Supplies
- Marrero, LA
National Provider Identifier
1881932408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DURAMED, INC
- Practice address
- 1151 Barataria Blvd Ste 1100
Marrero, LA 70072-3044 - Phone
- (504) 467-4057
- Fax
- (504) 467-4053
- NPI assigned
- Jan 17, 2013
- Organization subpart
- Yes
- Parent organization
- DURAMED, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricky Walter Decastro Sr.
- Title
- President
- Phone
- (504) 467-4057
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1151 Barataria Blvd Ste 1100
Marrero, LA 70072-3044
Mailing address
1015 24TH St
Kenner, LA 70062-5268
Phone (504) 467-4057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B6939 | Other | LA | BLUE CROSS BLUE SHIELD |
| 1669814 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Duramed Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1881932408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 24TH ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700625268",
"telephone_number": "504-467-4057",
"fax_number": "504-467-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 BARATARIA BLVD STE 1100",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723044",
"telephone_number": "504-467-4057",
"fax_number": "504-467-4053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURAMED, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DURAMED, INC",
"enumeration_date": "2013-01-17",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "DECASTRO",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-467-4057",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B6939",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669814",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.