NICKES MEDICAL SUPPLY, LLC (NPI# 1508408295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508408295 |
| Entity Type | Organization |
| Organization Name | NICKES MEDICAL SUPPLY, LLC |
| Practice Address |
Building 3220 Vincent Rd Huntsville AL 35898-0001 |
| Mailing Address |
2820 N Stanton St El Paso TX 79902-2509 |
| Practice Telephone | 9155338870 |
| Mailing Telephone | 9155338870 |
| Mailing Fax Number | 9155330078 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | NGOZI KATHLEEN AUSTIN-ELEJE (MANAGER/OWNER) |
| Authorized Official Telephone | 9155338870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857981 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 551 4th St., Bldg 227 Holloman Afb, Alamogordo, NM 88310-8831 | 2019-02-13 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1619433828 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 106 Meyer Ave Bldg 166, Offutt Afb, NE 68113-2000 | 2019-02-12 |
| 1427111780 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2820 N Stanton St, El Paso, TX 79902-2509 | 2006-12-18 |
| 1336781020 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 461 Skymaster Cir, Fairfield, CA 94535-1909 | 2019-10-14 |
| 1447716782 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2820 N Stanton St, El Paso, TX 79902-2509 | 2019-02-12 |
| 1477006054 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 215 East Broadway, Van Horn, TX 79855 | 2016-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICKES MEDICAL SUPPLY, LLC | 2820 N Stanton St, El Paso, TX 79912-2509 |
| Street Address |
BUILDING 3220 VINCENT RD |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35898-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669223 | Andrea Lindsey Tait | Dietitian, Registered | 1305 Hearthwood Cir Se, Huntsville, AL 35803-2447 | 2020-11-08 |
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1073113999 | Katherine Stumb | Dietitian, Registered | 213 Westmoreland Ave Se, Huntsville, AL 35801-2727 | 2020-10-29 |
| 1477153542 | Hang In Knoll Gilliam | Nurse Practitioner | 205 Dinner Tree Sq, Huntsville, AL 35811-7504 | 2020-10-28 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1134729452 | Karen G Parden | Speech-Language Pathologist | 600 Saint Clair Ave Sw Ste 6, Huntsville, AL 35801-5057 | 2020-10-27 |
| 1225637978 | Authentic Counseling Services, LLC | Social Worker | 3605 Governors Dr Sw Unit 7312, Huntsville, AL 35807-5062 | 2020-10-23 |
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| Find all providers in HUNTSVILLE | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083061 | Sonja D Gill, Dds, PC | Durable Medical Equipment & Medical Supplies | 204 Lowe Ave Se Ste 1, Huntsville, AL 35801-4242 | 2020-05-06 |
| 1336641893 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2286 Zierdt Rd Sw, Huntsville, AL 35824-1904 | 2018-03-01 |
| 1023559473 | Rocket City Medical, LLC | Durable Medical Equipment & Medical Supplies | 109 Marsheutz Ave Sw, Huntsville, AL 35801-4528 | 2017-03-19 |
| 1487062634 | Dme Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 117 Wholesale Ave Ne, Suite 10, Huntsville, AL 35811-1517 | 2014-07-31 |
| 1124436100 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4226 Oakwood Ave Nw, Huntsville, AL 35810-4066 | 2014-07-23 |
| 1164835633 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2421 Sam Houston Ave, Huntsville, TX 77340-5862 | 2014-06-03 |
| 1053737593 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 310 Pelham Ave Sw, Huntsville, AL 35801-5016 | 2014-03-07 |
| 1528495843 | Med South, Inc. | Durable Medical Equipment & Medical Supplies | 600 Saint Clair Ave Sw Ste 7, Ste 15, Huntsville, AL 35801-5057 | 2013-10-01 |
| 1407298193 | North Houston Cancer Clinics Pa | Durable Medical Equipment & Medical Supplies | 3233 Woodward Drive, Huntsville, TX 77340 | 2013-07-23 |
| 1083052070 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1086 Jeff Rd Nw, Huntsville, AL 35806-1048 | 2013-06-12 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35898 |
Please comment or provide details below to improve the information on NICKES MEDICAL SUPPLY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.