Active NPI
City Medical Supply, LLC
- Oxygen Equipment & Supplies (DME)
- Ripley, MS
National Provider Identifier
1013272046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- CITY MEDICAL SUPPLY, LLC
- Practice address
- 615 City Ave N
Ripley, MS 38663-1614 - Phone
- (662) 837-6000
- Fax
- (662) 837-9026
- NPI assigned
- Jul 5, 2012
- Last updated
- Jul 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Ward
- Title
- Owner
- Phone
- (662) 837-6000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MS | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MS | Primary |
Addresses
Primary practice location
615 City Ave N
Ripley, MS 38663-1614
Mailing address
615 City Ave N
Ripley, MS 38663-1614
Phone (662) 837-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04470318 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130214000377 | MS | DME Supplier - Medical Supply Company | 5294989570 | Practice locations: Ripley, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| City Medical Supply, LLC | Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|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 (S… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
615 City Ave N
Ripley, MS 38663
Phone (662) 837-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1013272046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CITY AVE N",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631614",
"telephone_number": "662-837-6000",
"fax_number": "662-837-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CITY AVE N",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631614",
"telephone_number": "662-837-6000",
"fax_number": "662-837-9026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-05",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-837-6000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04470318",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.