Organization Active NPI

PR Nursing Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
National Provider Identifier
1093931966
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PR NURSING SUPPLY LLC
Practice address
534 Murray St
Alexandria, LA 71301-8019
Phone
(318) 443-9614
Fax
(318) 487-1957
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mrs. Ronda Lou McNeal
Title
Director Officer
Phone
(318) 443-9614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LA Primary

Addresses

Primary practice location

534 Murray St
Alexandria, LA 71301-8019

Mailing address

PO Box 191
Alexandria, LA 71309-0191
Phone (318) 443-9614

Other identifiers 1

IdentifierTypeStateIssuer
1461521MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1093931966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713090191",
            "telephone_number": "318-443-9614",
            "fax_number": "318-487-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MURRAY ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018019",
            "telephone_number": "318-443-9614",
            "fax_number": "318-487-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR NURSING SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "318-443-9614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.