Organization Active NPI

Speedy Medical Supply, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Florissant, MO
National Provider Identifier
1972534055
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LC6437690 Issued in MO
Legal business name
SPEEDY MEDICAL SUPPLY, LLC.
Practice address
11115 New Halls Ferry Rd Ste 202
Florissant, MO 63033-7611
Phone
(314) 450-6411
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Ade A Adegoke
Title
Owner
Phone
(314) 450-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LC6437690 MO Primary

Addresses

Primary practice location

11115 New Halls Ferry Rd Ste 202
Florissant, MO 63033-7611

Mailing address

11115 New Halls Ferry Rd Ste 202
Florissant, MO 63033-7611
Phone (314) 450-6411

National Provider Directory

National Provider Directory

Locations

625 N Euclid Ave
Ste 550
Saint Louis, MO 63108
Phone (314) 361-0014

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1972534055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 NEW HALLS FERRY RD STE 202",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337611",
            "telephone_number": "314-450-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 NEW HALLS FERRY RD STE 202",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337611",
            "telephone_number": "314-450-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEEDY MEDICAL SUPPLY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "ADEGOKE",
        "authorized_official_first_name": "ADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-450-6411"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC6437690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.