Organization Active NPI

Reedley Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Reedley, CA
National Provider Identifier
1114080470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
REEDLEY MEDICAL SUPPLY
Practice address
1205 11TH St
Reedley, CA 93654-2924
Phone
(559) 638-8004
Fax
(559) 637-1979
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rhoda Enns
Title
Co-Owner
Phone
(559) 638-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1205 11TH St
Reedley, CA 93654-2924

Mailing address

1205 11TH St
Reedley, CA 93654-2924
Phone (559) 638-8004

Other identifiers 1

IdentifierTypeStateIssuer
DME00898FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114080470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542924",
            "telephone_number": "559-638-8004",
            "fax_number": "559-637-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542924",
            "telephone_number": "559-638-8004",
            "fax_number": "559-637-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENNS",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "559-638-8004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00898F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.