Organization Active NPI

Med-Pro Home Health Supply and

  • Oxygen Equipment & Supplies (DME)
  • Ripley, MS
National Provider Identifier
1083709778
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
03816 / 11.1 Issued in MS
Legal business name
MED-PRO HOME HEALTH SUPPLY AND
Practice address
205 S Main St
Ripley, MS 38663-2032
Phone
(662) 837-0950
Fax
(662) 837-0951
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Eddie Joel McCaffertyNPI 1184898017
Title
Owner
Phone
(662) 837-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 03816 / 11.1 MS Primary

Addresses

Primary practice location

205 S Main St
Ripley, MS 38663-2032

Mailing address

205 S Main St
Ripley, MS 38663-2032
Phone (662) 837-0950

Other names 1

  • Medical Products Doing business as

National Provider Directory

National Provider Directory

Locations

205 S Main St
Ripley, MS 38663
Phone (662) 837-0950

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083709778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632032",
            "telephone_number": "662-837-0950",
            "fax_number": "662-837-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632032",
            "telephone_number": "662-837-0950",
            "fax_number": "662-837-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PRO HOME HEALTH SUPPLY AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERTY",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-837-0950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "03816 / 11.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.