Active NPI
PR Nursing Supply LLC
- Durable Medical Equipment & Medical Supplies
- Alexandria, LA
National Provider Identifier
1093931966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461521 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.