Mmi Script Hub & Medical Supplies

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD06257 Issued in RI

Legal business name

MMI SCRIPT HUB & MEDICAL SUPPLIES

Practice address

1768 Storrs Rd
Storrs, CT 06268-1260

Phone

(860) 477-0961

Fax

(860) 477-0962

NPI assigned

Oct 28, 2015

Last updated

Apr 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricky McCullough

Title

Ceo

Phone

(860) 477-0961

Specialties & licenses 8

Addresses

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1063884146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48A MOOSUP VALLEY ROAD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251236",
            "telephone_number": "401-397-6203",
            "fax_number": "401-397-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 STORRS RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681260",
            "telephone_number": "860-477-0961",
            "fax_number": "860-477-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMI SCRIPT HUB & MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-477-0961"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MA",
            "license": "52697",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD06257",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "RI",
            "license": "MD06257",
            "primary": true
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Marie McCarthy, MS/CCC-SLP
• Amy McKenzie, MS, ATC, PES
• Ann Carney McMahon, AUD
• Meg Bishop, LCSW, LLC
• Kevin Mertens, PHD
• Rania M Mohamed Ahmed
• Annabelle Montero
• Pamela A. Moore, M.D.
• Chelsea Morales, PSYD
• Patricia Lynne Moriarty, APRN

• General Practice Physician in Storrs, CT
• Providers in Storrs, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.