John D. Whitehead

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

RCP0972 Issued in MS

Legal business name

JOHN D. WHITEHEAD

Doing business as

Lexington Medical Supply, LLC

Practice address

22743 Hwy 12
Lexington, MS 39095

Phone

(662) 834-4600

Fax

(662) 834-4606

NPI assigned

Oct 5, 2010

Last updated

May 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D. Whitehead, C.R.T

Title

Owner/Manager

Phone

(662) 834-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lexington Medical Supply, LLC Doing business as

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1184933384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "39063",
            "telephone_number": "662-834-4600",
            "fax_number": "662-834-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22743 HWY 12",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "39095",
            "telephone_number": "662-834-4600",
            "fax_number": "662-834-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. WHITEHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "662-834-4600",
        "authorized_official_credential": "C.R.T"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "RCP0972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00477052",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Medical Supply, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Lexington, MS
• Providers in Lexington, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.