Medco Medical Equipment Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDCO MEDICAL EQUIPMENT SUPPLY

Practice address

1208 W 6TH St
Irving, TX 75060-2628

Phone

(214) 682-7672

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thazhatha Chacko

Title

Owner

Phone

(214) 682-7672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912938838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 6TH ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602628",
            "telephone_number": "214-682-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W 6TH ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602628",
            "telephone_number": "214-682-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "THAZHATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-682-7672",
        "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": []
}

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• Durable Medical Equipment & Medical Supplies in Irving, TX
• Providers in Irving, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.