Organization Active NPI

Acheron Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1881933299
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ACHERON MEDICAL SUPPLY
Practice address
1583 Thousand Oaks Dr Ste 103
San Antonio, TX 78232-2300
Phone
(210) 854-1366
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Mr. John Pate
Title
President
Phone
(210) 854-1366

Specialties & licenses 1

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

Addresses

Primary practice location

1583 Thousand Oaks Dr Ste 103
San Antonio, TX 78232-2300

Mailing address

1583 Thousand Oaks Dr Ste 103
San Antonio, TX 78232-2300
Phone (210) 854-1366

National Provider Directory

National Provider Directory

Locations

1583 Thousand Oaks Dr
Ste 103
San Antonio, TX 78232
Phone (210) 854-1366

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1881933299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322300",
            "telephone_number": "210-854-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 THOUSAND OAKS DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322300",
            "telephone_number": "210-854-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHERON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-854-1366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.