Famous Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0095646 Issued in TX

Legal business name

FAMOUS MEDICAL SUPPLY INC

Practice address

9903 S Highway 6
Suite # 750
Sugar Land, TX 77498-5077

Phone

(281) 568-8774

Fax

(281) 568-8776

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nelson N. Kalu

Title

President

Phone

(281) 568-8774

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1891904256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 HIGHWAY 6 SOUTH",
            "address_2": "SUITE # 750",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985077",
            "telephone_number": "281-568-8774",
            "fax_number": "281-568-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 S HIGHWAY 6",
            "address_2": "SUITE # 750",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774985077",
            "telephone_number": "281-568-8774",
            "fax_number": "281-568-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMOUS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "KALU",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-568-8774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0095646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189564102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189564101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.