Affinity Distribution, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0079200 Issued in TX

Legal business name

AFFINITY DISTRIBUTION, INC.

Doing business as

Affinity Medical Supply

Practice address

6207 19TH St
Lubbock, TX 79407-1401

Phone

(806) 771-0335

Fax

(806) 209-0111

NPI assigned

Jun 9, 2006

Last updated

Oct 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aubrey Hines

Title

Ceo

Phone

(806) 771-0335

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Affinity Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1972544104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 82ND ST",
            "address_2": "SUITE 7-1140",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243028",
            "telephone_number": "806-771-0335",
            "fax_number": "806-209-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794071401",
            "telephone_number": "806-771-0335",
            "fax_number": "806-209-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DISTRIBUTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-771-0335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0079200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172495702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "532069",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "147017100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.