Ms Medical Supplies, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

06161 Issued in MS

Legal business name

MS MEDICAL SUPPLIES, INC.

Practice address

121 W Gallatin St
Hazlehurst, MS 39083-3024

Phone

(601) 894-0411

Fax

(601) 894-0455

NPI assigned

May 31, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lee Jay Romero III, RPH

Title

President

Phone

(601) 894-0411

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Anchor Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ms Medical Supplies, Inc.

  dba Anchor Home Care

  • Customized Equipment (DME)
  • McComb, MS
  • NPI 1477640928
  NPD tax ID

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104863034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W GALLATIN ST",
            "address_2": "P.O. BOX 786",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833024",
            "telephone_number": "601-894-0411",
            "fax_number": "601-894-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W GALLATIN ST",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833024",
            "telephone_number": "601-894-0411",
            "fax_number": "601-894-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-894-0411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06161",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MS",
            "license": "06161",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "06161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05371344",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicomp, Inc (Copiah Wellness & Rehab)
• Jason Dean Miles, OTR/L
• Chandra M. Minor, D.M.D.
• Mississippi Eye Care of Hazlehurst
• Mississippi State Department of Health
• Cameron Newell
• Alysia R Newman, P.T.
• Carol Newton
• Nurturing Wellness
• Zachery Thomas Odom, OTR/L

• Parenteral & Enteral Nutrition Supplies (DME) in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.