PL Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PL MEDICAL SUPPLY INC

Practice address

1726A Parkway Drive
Lubbock, TX 79403-4404

Phone

(806) 744-8400

Fax

(806) 744-8405

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Noemi Villarreal

Title

VP

Phone

(956) 580-7577

Specialties & licenses 1

Addresses

Other names 1

• Productive Life Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• PL Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
  • NPI 1205082658

  3274738984

  Same PAC ID
• PL Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mission, TX
  • NPI 1992800411

  3274738984

  Same PAC ID

Tax ID family

PL Medical Supply Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• PL Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
  • NPI 1205082658
  NPD tax ID
• PL Medical Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mission, TX
  • NPI 1992800411
  NPD tax ID

Locations

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1205155256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723223",
            "telephone_number": "956-580-7577",
            "fax_number": "956-580-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726A PARKWAY DRIVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034404",
            "telephone_number": "806-744-8400",
            "fax_number": "806-744-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "956-580-7577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Productive Life Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Productive Life Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Pitifer, ATP
• Courtney Alexandria Pitman, DO
• Christy Earl Pitner, OTR
• Travis Allen Pittock, MA, LPC, LSOTP
• John Pixley, M.D.
• Angelica Denise Placek
• Victoria Placencia
• Planned Parenthood of Greater Texas Family Planning & Preventative Hea
• Planned Parenthood of Greater Texas Surgical Health Services
• Moises Plasencia, MD

• Durable Medical Equipment & Medical Supplies in Lubbock, TX
• Providers in Lubbock, 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 Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.