Menaul Medical Supply LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MENAUL MEDICAL SUPPLY LLC

Practice address

11415 Menaul Blvd NE
Albuquerque, NM 87112-2435

Phone

(505) 291-1600

Fax

(505) 291-1604

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Reza Zamanian, DOCTOR OF PHARMACY

Title

Pharmacist/Owner

Phone

(505) 291-1600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmad Zamanian, PHARM.D.

  • Pharmacist
  • Albuquerque, NM
  • NPI 1548480882
  NPD (past)
• Mohammad R Zamanian, PHARM.D.

  • Pharmacist
  • Albuquerque, NM
  • NPI 1063634889
  NPD (past)

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1922300144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121794",
            "telephone_number": "505-291-1600",
            "fax_number": "505-291-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122435",
            "telephone_number": "505-291-1600",
            "fax_number": "505-291-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENAUL MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "ZAMANIAN",
        "authorized_official_first_name": "MOHAMMAD REZA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "505-291-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Maria Mena Gutierrez, M.D.
• Juan Carlos Mena, MD
• Hayley Menapace
• Selena Victoria Menapace, RN
• Menaul Compounding Pharmacy LLC
• Ashlee Menchaca, CPHT
• Desire M Menchaca
• Menda Behavioral Health Services PC
• Carlo Mendez Jr.
• Cody Mendez

• Customized Equipment (DME) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Customized Equipment (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.