Organization Active NPI

Benjamino Louis Granato

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1972553162
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0079071 Issued in TX
Legal business name
BENJAMINO LOUIS GRANATO
Doing business as
Alpha Diabetic Supply
Practice address
6415 Bandera Rd
San Antonio, TX 78238-1512
Phone
(210) 521-5884
Fax
(210) 521-0074
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Benjamino L Granato
Title
Owner
Phone
(210) 521-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0079071 TX Primary

Addresses

Primary practice location

6415 Bandera Rd
San Antonio, TX 78238-1512

Mailing address

PO Box 761801
San Antonio, TX 78245-6801
Phone (210) 521-5884

Other identifiers 1

IdentifierTypeStateIssuer
141811301MedicaidTX

Other names 1

  • Alpha Diabetic Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1972553162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761801",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782456801",
            "telephone_number": "210-521-5884",
            "fax_number": "210-521-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381512",
            "telephone_number": "210-521-5884",
            "fax_number": "210-521-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMINO LOUIS GRANATO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "GRANATO",
        "authorized_official_first_name": "BENJAMINO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-521-5884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0079071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141811301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Diabetic Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 2009; 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.