NPIMap

Organization Active NPI

Medworx Home Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Addison, TX
National Provider Identifier
1073197232
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDWORX HOME MEDICAL SUPPLIES LLC
Practice address
4950 Keller Springs Rd Ste 220
Addison, TX 75001-6282
Phone
(601) 665-4094
Fax
(769) 233-7482
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Authorized official

Name
Daron Walters
Title
Owner
Phone
(601) 573-9712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4950 Keller Springs Rd Ste 220
Addison, TX 75001-6282

Mailing address

950 E County Line Rd Ste C
Ridgeland, MS 39157-1928
Phone (601) 665-4094

National Provider Directory

National Provider Directory
Tax ID family
Medworx Home Medical Supplies LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

950 E County Line Rd
Ste C
Ridgeland, MS 39157
Phone (601) 308-5117

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1073197232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E COUNTY LINE RD STE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571928",
            "telephone_number": "601-665-4094",
            "fax_number": "769-233-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 KELLER SPRINGS RD STE 220",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016282",
            "telephone_number": "601-665-4094",
            "fax_number": "769-233-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWORX HOME MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-573-9712"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.