Sullivan S Drug Llc
Durable Medical Equipment & Medical Supplies
1140 Grand Ave, Bacliff
Texas, 77518-2760
281-339-4577 281-559-4339
Sullivan S Drug Llc is a Durable Medical Equipment & Medical Supplies in Bacliff, Texas. It is located at 1140 Grand Ave, Bacliff and it's customer support contact number is 281-339-4577. The authorized person of Sullivan S Drug Llc is Rodolfo Rangel who is Owner of this DME and his contact number is 956-793-3738. Active license number of Sullivan S Drug Llc is 13309 for Durable Medical Equipment & Medical Supplies in Texas. Sullivan S Drug Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sullivan S Drug Llc 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.
DME Supplier Details:
Sullivan S Drug Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Sullivan S Drug Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1140 Grand Ave, Bacliff,
Texas, 77518-2760 |
| Phone: | 281-339-4577 |
| Fax: | 281-559-4339 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Rodolfo Rangel |
| Position: | Owner |
| Contact Number: | 956-793-3738 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1215064340 |
| NPI Enumeration Date: | 27 Feb, 2007 |
| NPI Last Update On: | 22 Jun, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sullivan S Drug Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 13309 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 011509901 | Medicaid | Texas | |
| 010086901 | Medicaid | Texas | |
Medicare Enrollment:
Sullivan S Drug Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6103944459 | O20120201000851 | Sullivan Pharmacy, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sullivan S Drug Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1140 Grand Ave,
Bacliff, Texas |
| Zip: | 77518-2760 |
| Phone Number: | 281-339-4577 |
| Fax Number: | 281-559-4339 |
Patients can reach Sullivan S Drug Llc at
1140 Grand Ave, Bacliff, Texas or can
call on customer care at 281-339-4577.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.