MEDSTOCK, INC. (NPI# 1205932076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205932076 |
| Entity Type | Organization |
| Organization Name | MEDSTOCK, INC. |
| Practice Address |
206 East Main Street Marks MS 38646 |
| Practice Telephone | 6623264433 |
| Practice Fax Number | 6623262333 |
| Mailing Telephone | 6623264433 |
| Mailing Fax Number | 6623262333 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | MR. CLAYTON TAYLOR VANCE (PRESIDENT. CEO) |
| Authorized Official Telephone | 6623264433 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSTOCK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | E7233 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440408 | 05 |
| Street Address |
206 EAST MAIN STREET |
| City | MARKS |
| State | MS |
| Zip Code | 38646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1164573176 | Warrington Clinic, P.a. | Family Medicine | 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 | 2007-01-16 |
| 1538167564 | Aaron E. Henry Community Health | Clinic/Center | Hwy 3 South, Marks, MS 38646 | 2005-07-13 |
| 1700020278 | Karanpreet S Bains | Internal Medicine | 411 Poplar Street, Marks, MS 38646 | 2009-04-28 |
| 1790873669 | Dons Pharmacy Inc | Pharmacist | 200 E Main St, Marks, MS 38646 | 2006-10-10 |
| 1821001041 | Richard Edwin Waller | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-08-15 |
| 1578665840 | Salvador Nierras Petilos | Family Medicine | 1024 Martin Luther King Drive, Marks, MS 38646-0289 | 2006-09-05 |
| 1114127099 | George Edward Farrell | Nurse Practitioner | 411 Poplar Street, Marks, MS 38646-0347 | 2007-07-19 |
| 1992979124 | Quitman County School District | Local Education Agency (LEA) | Highway 3 South, Marks, MS 38646-0805 | 2008-04-18 |
| 1417497306 | Golden Years Healthcare LLC | Respite Care | 201 Humphrey Ave, Marks, MS 38646-1122 | 2017-02-27 |
| Find all providers in zip 38646 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215957428 | Freds Pharmacy of Quitman | Durable Medical Equipment & Medical Supplies | 1098 Martin Luther King Dr, Marks, MS 38646-1825 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.