REGGIE GREEN NPI 1104914373

NPI Information

  • NPI: 1104914373
  • Provider Name: REGGIE GREEN
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Other Name: AYS MEDICAL SUPPLY COMPANY
  • Address: 105 W CORNERVIEW ST
    SUITE B
    GONZALES, LA
    ZIP 70737
  • Phone: (225) 644-6514

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NPI Details

REGGIE GREEN is a durable medical equipment medical supplies in Gonzales, LA. 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. REGGIE GREEN NPI is 1104914373. The provider is registered as an organization entity type.
The provider Other Name Is Ays Medical Supply Company.

The provider's business location address is:

105 W CORNERVIEW ST
SUITE B
GONZALES, LA
ZIP 70737-839
Phone: (225) 644-6514
Fax: (225) 644-6514

The provider's authorized official is Reggie Demone Green .
The authorized official title is Owner and has the following contact phone number (225) 644-6514.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 4/29/2008.

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 Supplies02879LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11527297MEDICAIDLOUISIANA
25703350001MEDICARE NSCLOUISIANA

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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