Active NPI
People'S Custom RX & Clinical Care Center, LLC
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
National Provider Identifier
1043329774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3257
- Legal business name
- PEOPLE'S CUSTOM RX & CLINICAL CARE CENTER, LLC
- Practice address
- 785 E Brookhaven Cir
Memphis, TN 38117-4501 - Phone
- (901) 682-2273
- Fax
- (901) 682-4146
- NPI assigned
- Aug 29, 2006
- 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
- William C Johns Sr.
- Title
- Owner
- Phone
- (901) 682-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3257 | TN | Primary |
Addresses
Primary practice location
785 E Brookhaven Cir
Memphis, TN 38117-4501
Mailing address
785 E Brookhaven Cir
Memphis, TN 38117-4501
Phone (901) 682-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452413 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
785 E Brookhaven Cir
Memphis, TN 38117
Phone (901) 682-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043329774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 E BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174501",
"telephone_number": "901-682-2273",
"fax_number": "901-682-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 E BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174501",
"telephone_number": "901-682-2273",
"fax_number": "901-682-4146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLE'S CUSTOM RX & CLINICAL CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-682-2273",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "3257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452413",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.