Active NPI
Speedy Medical Supply, LLC.
- Durable Medical Equipment & Medical Supplies
- Florissant, MO
National Provider Identifier
1972534055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- LC6437690
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.