DIRECT MEDICAL SUPPLIES LLC NPI 1871542118

NPI Information

NPI: 1871542118
Provider Name: DIRECT MEDICAL SUPPLIES, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
7285 WINCHESTER RD
SUITE 104
MEMPHIS, TN
ZIP 38125
Phone: (901) 737-5069
Get Directions

DIRECT MEDICAL SUPPLIES, LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Memphis, TN. DIRECT MEDICAL SUPPLIES, LLC NPI is 1871542118. The provider is registered as an organization entity type.

The provider's business location address is:

7285 WINCHESTER RD
SUITE 104
MEMPHIS, TN
ZIP 38125-164
Phone: (901) 737-5069
Fax: (901) 737-5078

The provider's authorized official is Robert Earl Williams .
The authorized official title is General Manager and has the following contact phone number (901) 737-5069.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 2/27/2018.

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	332B00000X	Durable Medical Equipment & Medical Supplies		617	TENNESSEE	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	617	TENNESSEE	Yes
3	333300000X	Emergency Response System Companies		617	TENNESSEE	No

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	00440826	MEDICAID	MISSISSIPPI
2	144931	MEDICAID	TENNESSEE
3	25225	MEDICAID	TENNESSEE
4	392849	OTHER	KANSAS	BCBS KS PROVIDER NUMBER
5	H445036	OTHER	TENNESSEE	TN COMMISSION ON AGING
6	142674716	MEDICAID	ARKANSAS
7	4067605	OTHER	TENNESSEE	BCBS TN PROVIDER NUMBER
8	49873	OTHER	ARKANSAS	BCBS AR PROVIDER NUMBER
9	24698	MEDICAID	TENNESSEE
10	5261409009	MEDICAID	MISSOURI
11	=========	OTHER	TENNESSEE	TAX ID
12	1467715	MEDICAID	LOUISIANA
13	1452535	MEDICAID	TENNESSEE
14	4067605	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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