MEDSUPPLY (NPI# 1619021292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619021292 |
| Entity Type | Organization |
| Organization Name | MEDSUPPLY |
| Practice Address |
5105 E Dakota Ave Ste 102 Fresno CA 93727-7443 |
| Practice Telephone | 5592921540 |
| Practice Fax Number | 5592921539 |
| Mailing Telephone | 5592921540 |
| Mailing Fax Number | 5592921539 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MR. ADAM J FRERICHS (PRESIDENT) |
| Authorized Official Telephone | 5592921540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
43583 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA HOME MEDICAL DEVICE | 43583 | 01 |
| CA | DME03428F | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDSUPPLY INC. | 1241 Stirling Road Unit 116, Dania Beach, FL 33004-3565 |
| Virginia Business Entities | MedSupply LLC | 25 Catoctin Cir Se Unit 4482, Leesburg, Virginia 20177-8836 |
| System for Award Management (SAM) Entities | MEDSUPPLY PARTNERS | 3715 Atlanta Industrial Pkwy Nw Ste B, Atlanta, GA 30331-1063 |
| New York State Corporations | MEDSUPPLYRX LLC | 11102 62nd Drive, Forest Hills, Ny 11375 |
| Street Address |
5105 E DAKOTA AVE STE 102 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-7443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607120 | Pulmonic Health, LLC | Durable Medical Equipment & Medical Supplies | 402 W Bedford Ave Ste 103, Fresno, CA 93711-6884 | 2018-08-01 |
| 1366855025 | Jethro Medical, LLC | Durable Medical Equipment & Medical Supplies | 2142 N Fine Ave, Fresno, CA 93727-1513 | 2014-06-10 |
| 1174772032 | Respicare, Inc | Durable Medical Equipment & Medical Supplies | 5470 W Spruce Ave Ste 104, Fresno, CA 93722 | 2008-09-16 |
| 1427190131 | Rest Easy Medical, Inc | Durable Medical Equipment & Medical Supplies | 7065 N Chestnut Ave, Suite 106, Fresno, CA 93720-0355 | 2007-02-12 |
| 1881744399 | Care Medical, A California Corporation | Durable Medical Equipment & Medical Supplies | 4914 E Ashlan Ave, Suite 101, Fresno, CA 93726-3027 | 2007-01-10 |
| 1033201249 | Respiratory Care Plus | Durable Medical Equipment & Medical Supplies | 2594 N Fordham Ave, Fresno, CA 93727-8615 | 2006-09-28 |
| 1114938925 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 4741 W Shaw Ave, Suite 101, Fresno, CA 93722 | 2006-08-10 |
| 1952324360 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 340 W Fallbrook Ave, Suite 109-110, Fresno, CA 93711 | 2006-07-26 |
| 1447386529 | Respicare, Inc | Durable Medical Equipment & Medical Supplies | 5470 W Spruce Ave Ste 104, Fresno, CA 93722-2115 | 2007-02-26 |
| 1508937277 | Childrens Hospital Homecare | Durable Medical Equipment & Medical Supplies | 7555 N Del Mar Ave, Suite 101, Fresno, CA 93711-6860 | 2006-11-13 |
| Find all providers in FRESNO | ||||
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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.