Oak Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OAK MEDICAL

Practice address

160 Nutmeg Lane
Canton, MS 39046

Phone

(662) 803-3858

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Carlos BlackNPI 1386297570

Title

Owner

Phone

(662) 803-3858

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Black, PHARMD.

  • Pharmacist
  • Ridgeland, MS
  • NPI 1386297570
  NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1083361968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NUTMEG LANE",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NUTMEG LANE",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "39046",
            "telephone_number": "662-803-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-803-3858"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally R Norman
• North Madison Physician Billing
• North Madison Surgical Group
• Calli O'Connor
• Michael O'Reilly
• Efe' Okhomina
• William Osborn
• Jessica Overstreet
• Stacey Snyder Pannell, FNP
• Kendarius Montrez Paredes

• Durable Medical Equipment & Medical Supplies in Canton, MS
• Providers in Canton, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.