Medicine Chest Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICINE CHEST MEDICAL SUPPLY, INC.

Doing business as

Economy Medicine Chest Medical Equipment

Practice address

513 E Garland St
Grand Saline, TX 75140-1984

Phone

(903) 962-4251

Fax

(903) 885-8734

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dwayne McCormack, RES THERAPIST

Title

President

Phone

(903) 962-4251

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Economy Medicine Chest Medical Equipment Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1194822478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822762",
            "telephone_number": "903-885-0821",
            "fax_number": "903-885-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E GARLAND ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401984",
            "telephone_number": "903-962-4251",
            "fax_number": "903-885-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CHEST MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-962-4251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RES THERAPIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "185109901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "185109902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194822478",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Economy Medicine Chest Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Buford Lea, DDS
• Ricardo Llanes
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• Loh Ops Grand Saline LLC (Anderson Nursing Center)
• Veronica Trejo Mata, LVN
• MN Cozby-Germany LLC
• David Edward Monty, D.C.
• N Grand Saline Operations LLC
• Glynda Don Oglesby, RN
• Gwenda Ordin

• Durable Medical Equipment & Medical Supplies in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.