NPIMap

Organization Active NPI

Daily Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Clarksville, TX
National Provider Identifier
1184889461
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0099832 Issued in TX
Legal business name
DAILY MEDICAL SUPPLY, INC.
Practice address
1304 E Main St
Clarksville, TX 75426-4229
Phone
(903) 428-8033
Fax
(903) 428-8035
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mr. Jason R Petty
Title
Owner
Phone
(903) 428-8033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0099832 TX Primary

Addresses

Primary practice location

1304 E Main St
Clarksville, TX 75426-4229

Mailing address

1304 E Main St
Clarksville, TX 75426-4229
Phone (903) 428-8033

Other names 1

  • Home Oxygen & Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daily Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1304 E Main St
Clarksville, TX 75426
Phone (903) 428-8033

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1184889461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754264229",
            "telephone_number": "903-428-8033",
            "fax_number": "903-428-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754264229",
            "telephone_number": "903-428-8033",
            "fax_number": "903-428-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-428-8033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0099832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Oxygen & Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.