Organization Active NPI

Alliance Medical Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • San Antonio, TX
National Provider Identifier
1962777599
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0046215 Issued in TX
Legal business name
ALLIANCE MEDICAL SUPPLY, INC.
Practice address
10643 Sentinel St
San Antonio, TX 78217-3811
Phone
(210) 737-2444
Fax
(210) 737-2445
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Samuel Darren Berryhill, RRT,RCP
Title
President
Phone
(432) 580-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0046215 TX Primary

Addresses

Primary practice location

10643 Sentinel St
San Antonio, TX 78217-3811

Mailing address

2333 E 8TH St
Odessa, TX 79761-4209
Phone (432) 580-0171

Other identifiers 1

IdentifierTypeStateIssuer
010067901MedicaidTX

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1962777599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614209",
            "telephone_number": "432-580-0171",
            "fax_number": "432-580-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10643 SENTINEL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173811",
            "telephone_number": "210-737-2444",
            "fax_number": "210-737-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-580-0171",
        "authorized_official_credential": "RRT,RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0046215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.