Quincy Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUINCY MEDICAL SUPPLIES, LLC

Practice address

5303 Old Cape Rd E Ste a
Jackson, MO 63755-3850

Phone

(636) 541-3995

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Ken Callis

Title

President

Phone

(636) 541-3995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1124551205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 OLD CAPE RD E STE A",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 OLD CAPE RD E STE A",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553850",
            "telephone_number": "636-541-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-541-3995"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Annette Pewitt, D.O.
• Richel Pingkian
• Lindsey Michelle Pippins, MABC, BT, QIDP, DDP
• Kaitlyn C Poythress, MA, BCBA, LBA
• Alissa Marie Quaite, ED.S, LPC, RPT
• Chelsea R Reese, L.M.T.
• Kathryn Reitman, CLC, CLE, CLD
• Nicole Reyes
• Allison Rhymer
• Rock Care Assisted Living

• Durable Medical Equipment & Medical Supplies in Jackson, MO
• Providers in Jackson, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.