LARRY CARLTON JENKINS NPI 1285669150

NPI Information

NPI: 1285669150
Provider Name: LARRY CARLTON JENKINS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
912 HIGHWAY 15
STRINGER, MS
ZIP 39481
Phone: (601) 649-4418
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Larry Carlton Jenkins is a durable medical equipment medical supplies in Stringer, 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. Larry Carlton Jenkins NPI is 1285669150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

912 HIGHWAY 15
STRINGER, MS
ZIP 39481-230
Phone: (601) 649-4418
Fax: (601) 649-4487

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/28/2008.

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
1	3336S0011X	Pharmacy	Specialty Pharmacy	05321/02.5	MISSISSIPPI	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		05068/11.1	MISSISSIPPI	Yes

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
1	00330648	MEDICAID	MISSISSIPPI
2	00440829	MEDICAID	MISSISSIPPI
3	1700073905	OTHER	MISSISSIPPI	MEDICARE NPI
4	3939790001	MEDICARE NSC	MISSISSIPPI

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: 5/5/2024

NPI Synchronization or Removal

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