NPIMap

Organization Active NPI

Southern Pharmaceutical Corporation

Doing business as Quipt Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Richland Hills, TX
National Provider Identifier
1053406165
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SOUTHERN PHARMACEUTICAL CORPORATION
Doing business as
Quipt Home Medical
Practice address
7458 Dogwood Park Dr
Richland Hills, TX 76118-6470
Phone
(826) 348-1100
Fax
(682) 348-1102
NPI assigned
Oct 4, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Gregory J Crawford
Title
President
Phone
(859) 441-8876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 14931/11.1 MS
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

7458 Dogwood Park Dr
Richland Hills, TX 76118-6470

Mailing address

1019 Town Dr
Highland Heights, KY 41076-9114
Phone (859) 441-8876

Other identifiers 2

IdentifierTypeStateIssuer
90012436MedicaidKY
00134876MedicaidMS

Other names 1

  • Quipt Home Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930045600 TX DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 9537286513 Practice locations: Richland Hills, TX

Other NPIs with the same Medicare PAC ID 7

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
Quipt Home Medical7458 Dogwood Park Dr, Richland Hills, TX 76118-6470(682) 348-1100 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Southern Pharmaceutical Corporation7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

602 Brunson Dr
Tupelo, MS 38801
Phone (662) 269-2095

7458 Dogwood Park Dr
Richland Hills, TX 76118
Phone (682) 348-1100

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1053406165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 TOWN DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410769114",
            "telephone_number": "859-441-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7458 DOGWOOD PARK DR",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761186470",
            "telephone_number": "826-348-1100",
            "fax_number": "682-348-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHARMACEUTICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "14931/11.1",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90012436",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00134876",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quipt Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.