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FIFTY 50 MEDICAL LLC NPI 1376797704


NPI Information

NPI: 1376797704
Provider Name: FIFTY 50 MEDICAL LLC

Doing Business As: FIFTY50 PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1411 E SANDY LAKE RD STE 120
COPPELL, TX
ZIP 75019
Phone: (972) 243-2727
Get Directions

FIFTY 50 MEDICAL LLC is a durable medical equipment medical supplies in Coppell, TX. 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. FIFTY 50 MEDICAL LLC NPI is 1376797704. The provider is registered as an organization entity type.
The provider Is Doing Business As Fifty50 Pharmacy.

The provider's business location address is:

1411 E SANDY LAKE RD STE 120
COPPELL, TX
ZIP 75019-947
Phone: (972) 243-2727
Fax: (972) 243-3111

The provider's authorized official is Maxine Wilson .
The authorized official title is Gm and has the following contact phone number (972) 243-2727.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 5/8/2023.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3332B00000XDurable Medical Equipment & Medical Supplies26217TEXASYes

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
1100792330AMEDICAIDOKLAHOMA
2201737803MEDICAIDTEXAS
3201737801MEDICAIDTEXAS
42121078OTHERPK
5143875716MEDICAIDARKANSAS

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

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