Organization Active NPI

People'S Custom RX & Clinical Care Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1043329774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3257 Issued in TN
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1452413MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.