Organization Active NPI

McConaghy Home Medical, LLC

Doing business as McConaghy Home Medical / Thomasville

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, AL
National Provider Identifier
1073919361
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MCCONAGHY HOME MEDICAL, LLC
Doing business as
McConaghy Home Medical / Thomasville
Practice address
480A Wilson Ave W
Thomasville, AL 36784-2029
Phone
(251) 275-3964
NPI assigned
Nov 13, 2014
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dan McConaghy, RPH
Title
Owner
Phone
(251) 275-3964

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AL Primary
Customized Equipment (DME) 332BC3200X AL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X AL
Oxygen Equipment & Supplies (DME) 332BX2000X AL
Prosthetic/Orthotic Supplier 335E00000X AL

Addresses

Primary practice location

480A Wilson Ave W
Thomasville, AL 36784-2029

Mailing address

480A Wilson Ave W
Thomasville, AL 36784-2029
Phone (251) 275-3964

Other names 1

  • McConaghy Home Medical / Thomasville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119001988 AL DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Oxygen & Equipment 9537462932 Practice locations: Thomasville, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McConaghy Home Medical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

179A S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3964

480A Wilson Ave W
Thomasville, AL 36784
Phone (251) 275-3964

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1073919361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480A WILSON AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367842029",
            "telephone_number": "251-275-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480A WILSON AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367842029",
            "telephone_number": "251-275-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONAGHY HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCONAGHY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-275-3964",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McConaghy Home Medical / Thomasville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.