Organization Active NPI

Magnolia Medical Supplies and Equipment

  • Oxygen Equipment & Supplies (DME)
  • Senatobia, MS
National Provider Identifier
1225220437
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MAGNOLIA MEDICAL SUPPLIES AND EQUIPMENT
Practice address
301 W Main St
Senatobia, MS 38668-2146
Phone
(662) 301-1013
Fax
(662) 301-1015
NPI assigned
Aug 11, 2007
Last updated
Aug 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Authorized official

Name
Mr. Johnny Mack Hardy
Title
Ceo
Phone
(662) 301-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

301 W Main St
Senatobia, MS 38668-2146

Mailing address

PO Box 85
Tunica, MS 38676-0085
Phone (662) 301-1013

National Provider Directory

National Provider Directory

Locations

301 W Main St
Senatobia, MS 38668
Phone (662) 301-1013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1225220437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386760085",
            "telephone_number": "662-301-1013",
            "fax_number": "662-357-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682146",
            "telephone_number": "662-301-1013",
            "fax_number": "662-301-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL SUPPLIES AND EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-301-1013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.