Starline Medical Supply Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0063183 Issued in TX

Legal business name

STARLINE MEDICAL SUPPLY CO.

Practice address

2427 FM 1092 Rd
Missouri City, TX 77459-1809

Phone

(281) 208-2421

Fax

(281) 208-2419

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sylvanus Okoro Kanu, MBA

Title

Director Operations

Phone

(281) 208-2421

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1992792584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 FM 1092 RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591809",
            "telephone_number": "281-208-2421",
            "fax_number": "281-208-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 FM 1092 RD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591809",
            "telephone_number": "281-208-2421",
            "fax_number": "281-208-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLINE MEDICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "KANU",
        "authorized_official_first_name": "SYLVANUS",
        "authorized_official_middle_name": "OKORO",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "281-208-2421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0063183",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0063183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161637701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161637702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Missouri City, TX
• Providers in Missouri City, 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 Sep 26, 2008; 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.