{"npi":"1467730366","type":"NPI-2","status":"active","name":{"display":"Premier Medical Supply, LLC","other":[],"organization_name":"PREMIER MEDICAL SUPPLY, LLC","authorised_official":"Colette Radcliffe"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1545 GOODYEAR DR STE D","city":"EL PASO","state":"TX","postal_code":"799366063","country_code":"US","phone":"9155943333","fax":"9155943043"},{"purpose":"MAILING","street_1":"1545 GOODYEAR DR STE D","city":"EL PASO","state":"TX","postal_code":"799366063","country_code":"US","phone":"9155943333","fax":"9155943043"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"297995701","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-07-26","last_updated":"2024-06-11","_meta":{"source":"NPPES","snapshot_date":"2024-06-11","doc_url":"https://findmynpi.com/api"}}