Express Care Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPRESS CARE MEDICAL SUPPLY INC

Practice address

12 W Huron St
Pontiac, MI 48342-2100

Phone

(248) 451-0073

Fax

(248) 451-0082

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rita Ilyasov

Title

President

Phone

(248) 451-0073

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1902236177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422100",
            "telephone_number": "248-451-0073",
            "fax_number": "248-451-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422100",
            "telephone_number": "248-451-0073",
            "fax_number": "248-451-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "ILYASOV",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-451-0073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roelle Eugenio, DO
• Kelly Everden, CPNP
• Alex Everts
• Alexandra Evink, RD
• Express Care Medical Supply Inc
• Express Health PC
• Brian Eyler, PA
• Erinma Onyekachi Ezeugwa
• Sharanya Shre Ezhilarasan Santhi, MBBS
• Robert Faber, DO

• Durable Medical Equipment & Medical Supplies in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.