Active NPI
Benjamino Louis Granato
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1972553162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0079071
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141811301 | Medicaid | TX |
Other names 1
- Alpha Diabetic Supply
National Provider Directory
National Provider DirectoryNPI 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.