Active NPI
McConaghy Home Medical, LLC
Doing business as McConaghy Home Medical / Thomasville
- Durable Medical Equipment & Medical Supplies
- Thomasville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- 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
- Dan McConaghy, RPH
- Title
- Owner
- Phone
- (251) 275-3964
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160119001988 | AL | DME Supplier - Medical Supply Company With Orthotic Personnel | 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).
-
dba McConaghy Home Medical / Grove Hill
- Durable Medical Equipment & Medical Supplies
- Grove Hill, AL
- NPI 1073917266
9537462932
National Provider Directory
National Provider Directory- Tax ID family
- McConaghy Home Medical LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba McConaghy Home Medical / Grove Hill
- Durable Medical Equipment & Medical Supplies
- Grove Hill, AL
- NPI 1073917266
-
dba McConaghy Home Medical/Chatom
- Durable Medical Equipment & Medical Supplies
- Chatom, AL
- NPI 1871990929
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.