Active NPI
Wellspring Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Smyrna, TN
National Provider Identifier
1063947398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DMEHS599
- Legal business name
- WELLSPRING MEDICAL SUPPLY LLC
- Practice address
- 599 Sam Ridley Pkwy W Ste 103
Smyrna, TN 37167-5646 - Phone
- (615) 462-5094
- NPI assigned
- Apr 24, 2017
- 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
- Dr. Theresa N Onuh, PHARMD
- Title
- President
- Phone
- (615) 462-5094
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DMEHS599 | TN | Primary |
Addresses
Primary practice location
599 Sam Ridley Pkwy W Ste 103
Smyrna, TN 37167-5646
Mailing address
599 Sam Ridley Pkwy W Ste 103
Smyrna, TN 37167-5646
Phone (615) 462-5094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DMEHS599 | Other | TN | DMEHS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Nashville, TN
- NPI 1770030389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571961600000",
"number": "1063947398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 SAM RIDLEY PKWY W STE 103",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675646",
"telephone_number": "615-462-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 SAM RIDLEY PKWY W STE 103",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675646",
"telephone_number": "615-462-5094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-24",
"last_updated": "2019-10-25",
"status": "A",
"authorized_official_last_name": "ONUH",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-462-5094",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "DMEHS599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEHS",
"identifier": "DMEHS599",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.