Advance Medical Supplies

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ADVANCE MEDICAL SUPPLIES

Practice address

5111 Rolling Field CT
Antelope, CA 95843-4608

Phone

(916) 722-1079

Fax

(916) 722-1079

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Margarita Betita Dano, RN

Title

Owner/Administrator

Phone

(916) 722-1079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1992057442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ROLLING FIELD CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434608",
            "telephone_number": "916-722-1079",
            "fax_number": "916-722-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROLLING FIELD CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434608",
            "telephone_number": "916-722-1079",
            "fax_number": "916-722-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "DANO",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "BETITA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-722-1079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.