FIFTY MED NE LLC NPI 1922967322

NPI Information

  • NPI: 1922967322
  • Provider Name: FIFTY MED NE, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 20164 HUSKER DR STE 1
    GRETNA, NE
    ZIP 68028
  • Phone: (402) 318-7454

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NPI Details

FIFTY MED NE, LLC is a durable medical equipment medical supplies in Gretna, NE. 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 MED NE, LLC NPI is 1922967322. The provider is registered as an organization entity type.

The provider's business location address is:

20164 HUSKER DR STE 1
GRETNA, NE
ZIP 68028-085
Phone: (402) 318-7454

The provider's authorized official is Tyrin Malik Ferguson .
The authorized official title is Founder and has the following contact phone number (402) 318-7454.

The enumeration date for this NPI number is 1/20/2026 and was last updated on 1/20/2026.

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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