Valley Medical Shoppe Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

DME244 Issued in ID

Legal business name

VALLEY MEDICAL SHOPPE INC

Practice address

1350 Parkway Dr
Ste 26
Blackfoot, ID 83221-1657

Phone

(208) 782-0456

Fax

(208) 782-0457

NPI assigned

May 27, 2006

Organization subpart

Yes

Parent organization

VALLEY MEDICAL SHOPPE INCAs reported in NPPES

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

Authorized official

Name

Mr. Gary W Aiman

Title

Owner

Phone

(208) 356-7913

Specialties & licenses 1

Addresses

Part of

Valley Medical Shoppe Inc

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1902853096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401620",
            "telephone_number": "208-356-7913",
            "fax_number": "208-356-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PARKWAY DR",
            "address_2": "STE 26",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211657",
            "telephone_number": "208-782-0456",
            "fax_number": "208-782-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL SHOPPE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MEDICAL SHOPPE INC",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "AIMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-7913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "DME244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Oxygen Equipment & Supplies (DME) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.