HEMP SHOP EXPRESS LLC NPI 1104725118

NPI Information

  • NPI: 1104725118
  • Provider Name: HEMP SHOP EXPRESS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1221 THIRD AVE
    PICAYUNE, MS
    ZIP 39466
  • Phone: (720) 604-8451

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NPI Details

HEMP SHOP EXPRESS LLC is a durable medical equipment medical supplies in Picayune, MS. 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. HEMP SHOP EXPRESS LLC NPI is 1104725118. The provider is registered as an organization entity type.

The provider's business location address is:

1221 THIRD AVE
PICAYUNE, MS
ZIP 39466-411
Phone: (720) 604-8451

The provider's authorized official is Corey Sampson .
The authorized official title is Sole Member and has the following contact phone number (720) 604-8451.

The enumeration date for this NPI number is 11/4/2026 and was last updated on 11/4/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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