MEDICARE: ADMIRAL MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0119124416	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114989712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADMIRAL MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	2511 E 46TH ST STE Q7
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-2461
Country	:	US
Telephone Number	:	317-641-3174
Fax Number	:	317-545-1877

Provider Business Practice Location Address
First Line	:	2511 E 46TH ST STE Q7
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-2461
Country	:	US
Telephone Number	:	317-641-3174
Fax Number	:	317-545-1877

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RASHARD GRAVES
Credential	:
Telephone Number	:	317-641-3174

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	05/20/2009

Similar Medicare Providers

1336195114 — KRISTA LYNN BULLER
Practice Location Address:

2811 E 10TH ST
INDIANAPOLIS, IN
46201-2461

Practice Phone: 317-423-7217
Practice Fax:

1770645707 — JOSHUA A THOMPSON
Practice Location Address:

2811 E 10TH ST
INDIANAPOLIS, IN
46201-2461

Practice Phone: 317-423-7217
Practice Fax:

1184743890 — DR. GUS PULOS DDS
Practice Location Address:

1002 N MITTHOEFFER RD , SUITE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax: 317-898-4965

1790126852 — MS. AMELIA SOSA CD(DONA)
Practice Location Address:

5212 SUNNY MEADE LN
INDIANAPOLIS, IN
46208-2461

Practice Phone: 317-513-1960
Practice Fax:

1114441383 — AMANDA CLEMONS DDS
Practice Location Address:

1002 N MITTHOEFFER RD STE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax:

1972016392 — PULOS FAMILY DENTISTRY, LLC
Practice Location Address:

1002 N MITTHOEFFER RD STE B
INDIANAPOLIS, IN
46229-2461

Practice Phone: 317-898-6666
Practice Fax: 317-898-4965

Directions to “ADMIRAL MEDICAL SUPPLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.