Organization Active NPI

Med1 Medical Supplies-Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Cypress, TX
National Provider Identifier
1912772179
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED1 MEDICAL SUPPLIES-TEXAS LLC
Practice address
18510 Wade Creed Lane
Cypress, TX 77433
Phone
(512) 644-0293
NPI assigned
Nov 17, 2023
Organization subpart
Yes
Parent organization
MED1 MEDICAL SUPPLIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Julie Roberts, DHA
Title
Owner
Phone
(317) 922-6407

Specialties & licenses 1

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

Addresses

Primary practice location

18510 Wade Creed Lane
Cypress, TX 77433

Mailing address

18510 Wade Creed Lane
Cypress, TX 77433
Phone (512) 644-0293

Other names 1

  • Med1 Medical Supplies LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Med1 Medical Supplies LLC2 organizations share this tax ID, including this one
Part of
Med1 Medical Supplies LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1912772179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 WADE CREED LANE",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "512-644-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 WADE CREED LANE",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "512-644-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED1 MEDICAL SUPPLIES-TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED1 MEDICAL SUPPLIES LLC",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-922-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med1 Medical Supplies LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.