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ADVANT EDGE PHARMACY INC NPI 1477547552


NPI Information

NPI: 1477547552
Provider Name: ADVANT EDGE PHARMACY, INC

Doing Business As: ADVANT EDGE HME

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1576 LOMALAND DR
EL PASO, TX
ZIP 79935
Phone: (915) 595-0409
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ADVANT EDGE PHARMACY, INC is a durable medical equipment medical supplies in El Paso, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANT EDGE PHARMACY, INC NPI is 1477547552. The provider is registered as an organization entity type.
The provider Is Doing Business As Advant Edge Hme.

The provider's business location address is:

1576 LOMALAND DR
EL PASO, TX
ZIP 79935-202
Phone: (915) 595-0409
Fax: (915) 595-1306

The provider's authorized official is Eustacio Rivas .
The authorized official title is President and has the following contact phone number (915) 595-0409.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 9/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition19378TEXASNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies19378TEXASNo
3332B00000XDurable Medical Equipment & Medical Supplies19378TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1016896501MEDICAIDTEXAS
21279740001MEDICARE ID-TYPE UNSPECIFIEDTEXASTPI
31279740001MEDICARE NSCTEXAS
4010965401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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