Organization Active NPI

Inco-Med LLC

  • Durable Medical Equipment & Medical Supplies
  • Florence, MS
National Provider Identifier
1134627185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INCO-MED LLC
Practice address
2267 Simpson Highway 469
Florence, MS 39073-7409
Phone
(601) 665-7559
Fax
(601) 847-5158
NPI assigned
Jan 24, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Karlotta Elizabeth Wray
Title
President
Phone
(601) 665-7559

Specialties & licenses 1

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

Addresses

Primary practice location

2267 Simpson Highway 469
Florence, MS 39073-7409

Mailing address

2267 Simpson Highway 469
Florence, MS 39073-7409
Phone (601) 665-7559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134627185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 SIMPSON HIGHWAY 469",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390737409",
            "telephone_number": "601-665-7559",
            "fax_number": "601-847-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 SIMPSON HIGHWAY 469",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390737409",
            "telephone_number": "601-665-7559",
            "fax_number": "601-847-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCO-MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "KARLOTTA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-665-7559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.