Organization Active NPI

PMN Medical

  • Durable Medical Equipment & Medical Supplies
  • Monroe, LA
National Provider Identifier
1124194857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PMN MEDICAL
Practice address
4403 Sterlington Rd
Monroe, LA 71201
Phone
(318) 322-0995
NPI assigned
Nov 27, 2006
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
Mr. Fred Ronnie Myrick
Title
Owner
Phone
(318) 322-0995

Specialties & licenses 1

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

Addresses

Primary practice location

4403 Sterlington Rd
Monroe, LA 71201

Mailing address

PO Box 12957
Alexandria, LA 71315-2957
Phone (318) 487-8891

National Provider Directory

National Provider Directory

Locations

4403 Sterlington Rd
Monroe, LA 71203
Phone (318) 322-0995

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124194857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12957",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152957",
            "telephone_number": "318-487-8891",
            "fax_number": "318-484-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-322-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-322-0995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

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.