Emerald Medical Supply

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

EMERALD MEDICAL SUPPLY

Practice address

39362 Meadowbrook Ave
Prairieville, LA 70769-4836

Phone

(225) 772-3071

Fax

(225) 622-6083

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Christina McDaniel

Title

Owner

Phone

(225) 772-3071

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164577276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39362 MEADOWBROOK AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694836",
            "telephone_number": "225-772-3071",
            "fax_number": "225-622-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39362 MEADOWBROOK AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694836",
            "telephone_number": "225-772-3071",
            "fax_number": "225-622-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-772-3071"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.