Organization Active NPI

Superior Medical Supply L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TX
National Provider Identifier
1891728549
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR MEDICAL SUPPLY L.L.C.
Doing business as
Superior Medical Supply
Practice address
202 S San Jacinto Ave
Cleveland, TX 77327-4413
Phone
(281) 592-0699
Fax
(281) 592-0422
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mr. Scott L. Johnson
Title
Owner
Phone
(281) 592-0699

Specialties & licenses 1

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

Addresses

Primary practice location

202 S San Jacinto Ave
Cleveland, TX 77327-4413

Mailing address

P.O. Box 472
Hull, TX 77564
Phone (281) 385-5413

Other names 1

  • Superior Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

202 S San Jacinto Ave
Cleveland, TX 77327
Phone (281) 592-0699

200 Bardash St
Ste 5
Cleveland, TX 77327
Phone (281) 592-0699

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1891728549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 472",
            "city": "HULL",
            "state": "TX",
            "postal_code": "77564",
            "telephone_number": "281-385-5413",
            "fax_number": "281-576-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S SAN JACINTO AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274413",
            "telephone_number": "281-592-0699",
            "fax_number": "281-592-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL SUPPLY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-592-0699",
        "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": [
        {
            "organization_name": "Superior Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.