DIRECT MEDICAL SUPPLIES, LLC (NPI# 1871542118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871542118 |
| Entity Type | Organization |
| Organization Name | DIRECT MEDICAL SUPPLIES, LLC |
| Practice Address |
7285 Winchester Rd Suite 104 Memphis TN 38125-2164 |
| Practice Telephone | 9017375069 |
| Practice Fax Number | 9017375078 |
| Mailing Telephone | 9017375069 |
| Mailing Fax Number | 9017375078 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MR. ROBERT EARL WILLIAMS (GENERAL MANAGER) |
| Authorized Official Telephone | 9017375069 |
| Authorized Official Credential | C-PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 617 | TN | Suppliers |
| N | 333300000X | Emergency Response System Companies | 617 | TN | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
617 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 144931 | 05 | |
| MO | 5261409009 | 05 | |
| AR | 142674716 | 05 | |
| TN | 25225 | 05 | |
| TN | BCBS TN PROVIDER NUMBER | 4067605 | 01 |
| TN | 4067605 | 05 | |
| TN | 1452535 | 05 | |
| KS | BCBS KS PROVIDER NUMBER | 392849 | 01 |
| LA | 1467715 | 05 | |
| TN | TN COMMISSION ON AGING | H445036 | 01 |
| MS | 00440826 | 05 | |
| AR | BCBS AR PROVIDER NUMBER | 49873 | 01 |
| TN | 24698 | 05 |
| Street Address |
7285 WINCHESTER RD SUITE 104 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730290784 | Pmc Healthcare Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 1680 Century Center Pkwy, Suite 15, Memphis, TN 38134-8827 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
| 1215319892 | Cumberland Special Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3106 Miller Ave Ste 101, Crossville, TN 38555-6118 | 2015-06-19 |
| 1578985842 | Bioscrip Medical Supply Services, LLC | Durable Medical Equipment & Medical Supplies | 5249 Harding Pl, Nashville, TN 37217-2901 | 2014-01-06 |
| 1689972960 | Paragon Nutrition Care, LLC | Durable Medical Equipment & Medical Supplies | 115 Market St E Ste B, Fayetteville, TN 37334-3092 | 2011-03-10 |
| 1467783662 | A Plus Health Supplies | Durable Medical Equipment & Medical Supplies | 7478 Crystal Lake Dr, Cordova, TN 38016-8779 | 2010-01-28 |
| 1710216080 | Access Homecare Services, Inc | Durable Medical Equipment & Medical Supplies | 3603 Ringgold Rd # C, Chattanooga, TN 37412-1247 | 2009-12-16 |
| 1538357314 | Oxygen Plus, Corp | Durable Medical Equipment & Medical Supplies | 1804 Patterson St, Nashville, TN 37203-2111 | 2007-10-05 |
| 1295934537 | Little Fish Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 758 Hwy 46 S, Suite 100, Dickson, TN 37055-2556 | 2007-07-17 |
| 1417077058 | Vanguard Healthcare Ancillary Services, LLC | Durable Medical Equipment & Medical Supplies | 6 Cadillac Dr, Suite 310, Brentwood, TN 37027-5080 | 2007-03-29 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| 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.