Organization Active NPI

The Healthcare Store, Inc

  • Durable Medical Equipment & Medical Supplies
  • Hurst, TX
National Provider Identifier
1073628178
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE HEALTHCARE STORE, INC
Practice address
944 Melbourne Rd
Hurst, TX 76053-4633
Phone
(817) 589-1110
Fax
(817) 595-1984
NPI assigned
Aug 20, 2006
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Jennifer K Jones
Title
Claims Administrator
Phone
(817) 589-1110

Specialties & licenses 1

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

Addresses

Primary practice location

944 Melbourne Rd
Hurst, TX 76053-4633

Mailing address

944 Melbourne Rd
Hurst, TX 76053-4633
Phone (817) 589-1110

Other identifiers 4

IdentifierTypeStateIssuer
1425753-01MedicaidTX
1425753-02MedicaidTX
531095OtherTXBCBS
142575301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002450 TX DME Supplier - Medical Supply Company 2769501964 Practice locations: Hurst, TX

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
The Healthcare Store944 Melbourne Rd, Hurst, TX 76053-4633(817) 589-1110 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelc… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

944 Melbourne Rd
Hurst, TX 76053
Phone (817) 589-1110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1073628178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534633",
            "telephone_number": "817-589-1110",
            "fax_number": "817-595-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534633",
            "telephone_number": "817-589-1110",
            "fax_number": "817-595-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHCARE STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLAIMS ADMINISTRATOR",
        "authorized_official_telephone_number": "817-589-1110"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425753-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425753-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531095",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142575301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.