Organization Active NPI

A&M Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
National Provider Identifier
1992069942
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000732 Issued in TX
Legal business name
A&M MEDICAL SUPPLY, LLC
Practice address
567 Sterling Dr
Richardson, TX 75081-2827
Phone
(972) 677-7280
NPI assigned
Jun 25, 2012
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Jesusa Almira Jamotillo
Title
Ceo
Phone
(972) 677-7280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000732 TX Primary

Addresses

Primary practice location

567 Sterling Dr
Richardson, TX 75081-2827

Mailing address

567 Sterling Dr
Richardson, TX 75081-2827
Phone (972) 677-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130311000379 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9830344225 Practice locations: Richardson, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
A&M Medical Supply LLC567 Sterling Dr, Richardson, TX 75081-2827(972) 677-7280 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crut… Does not accept assignmentParticipating since Dec 20, 2012

National Provider Directory

National Provider Directory
Tax ID family
Am Medical Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

567 Sterling Dr
Richardson, TX 75081
Phone (972) 677-7280

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1992069942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 STERLING DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812827",
            "telephone_number": "972-677-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 STERLING DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812827",
            "telephone_number": "972-677-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&M MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "JAMOTILLO",
        "authorized_official_first_name": "JESUSA ALMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-677-7280"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.