NPIMap

Organization Active NPI

Cook Wholesale Co Inc

Doing business as Cook Medical Supply Carthage

  • Durable Medical Equipment & Medical Supplies
  • Carthage, MS
National Provider Identifier
1003214198
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COOK WHOLESALE CO INC
Doing business as
Cook Medical Supply Carthage
Practice address
404 Highway 16 E
Carthage, MS 39051-4208
Phone
(601) 267-6334
Fax
(601) 267-6334
NPI assigned
Dec 5, 2014
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Anderson
Title
Cfo
Phone
(601) 732-6334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

404 Highway 16 E
Carthage, MS 39051-4208

Mailing address

404 Highway 16 E
Carthage, MS 39051-4208
Phone (601) 267-6334

Other names 1

  • Cook Medical Supply Carthage Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150810001691 MS DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 1557481389 Practice locations: Carthage, MS

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cook Medical Supply Carthage404 Highway 16 E, Carthage, MS 39051-4208(601) 267-6334 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (… Does not accept assignmentParticipating since Jan 1, 2003

National Provider Directory

National Provider Directory
Tax ID family
Cook Wholesale Co Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

404 Highway 16 E
Carthage, MS 39051
Phone (601) 267-6334

162 Highway 13 S
Morton, MS 39117
Phone (601) 732-6334

Networks

  • AL HMO D-SNP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1003214198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514208",
            "telephone_number": "601-267-6334",
            "fax_number": "601-267-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514208",
            "telephone_number": "601-267-6334",
            "fax_number": "601-267-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK WHOLESALE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-732-6334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Medical Supply Carthage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cook Medical Supply Carthage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.