Organization Active NPI

Tropicana Medical Supply, Inc

  • Customized Equipment (DME)
  • Las Vegas, NV
National Provider Identifier
1922108737
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1000042-424 Issued in NV
Legal business name
TROPICANA MEDICAL SUPPLY, INC
Practice address
5020 E Tropicana Ave
Suite B-5
Las Vegas, NV 89122-6749
Phone
(702) 547-6017
Fax
(702) 547-6019
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Jermaine A. Thomas
Title
Manager
Phone
(702) 547-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1000042-424 NV Primary

Addresses

Primary practice location

5020 E Tropicana Ave
Suite B-5
Las Vegas, NV 89122-6749

Mailing address

5020 E Tropicana Ave
Suite B-5
Las Vegas, NV 89122-6747
Phone (702) 547-6017

Other identifiers 2

IdentifierTypeStateIssuer
NV9429OtherNVBCBS
003302512MedicaidNV

National Provider Directory

National Provider Directory

Locations

5020 E Tropicana Ave
Ste 5B
Las Vegas, NV 89122
Phone (702) 547-6017

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1922108737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E TROPICANA AVE",
            "address_2": "SUITE B-5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226747",
            "telephone_number": "702-547-6017",
            "fax_number": "702-547-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E TROPICANA AVE",
            "address_2": "SUITE B-5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226749",
            "telephone_number": "702-547-6017",
            "fax_number": "702-547-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPICANA MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-547-6017"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "1000042-424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NV9429",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302512",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.