Premier Source Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER SOURCE MEDICAL SUPPLY INC.

Practice address

19 NE 50TH St
Oklahoma City, OK 73105-1807

Phone

(405) 570-0023

Fax

(800) 693-9217

NPI assigned

Aug 31, 2009

Last updated

Aug 31, 2009By 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

Bryan William Schones

Title

President

Phone

(405) 570-0023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1073746624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731051807",
            "telephone_number": "405-570-0023",
            "fax_number": "800-693-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731051807",
            "telephone_number": "405-570-0023",
            "fax_number": "800-693-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SOURCE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "SCHONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-570-0023"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Drug, LLC
• Premier Healthcare, Aprn-CNP, PC
• Premier Hearing Care, LLC
• Premier Paradox Inc
• Premier Physical Therapy
• Premier Therapy Solutions
• Premier Wound Care PLLC
• Premise Health of Oklahoma Medical PC (Premise Health - Oklahoma City North)
• Premise Health of Oklahoma Medical PC (Premise Health - Oklahoma City Midtown)
• Premise Health of Oklahoma Medical PC (OKC Care Employee Medical Center)

• Durable Medical Equipment & Medical Supplies in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.