Active NPI
Magnolia Medical Supplies and Equipment
- Oxygen Equipment & Supplies (DME)
- Senatobia, MS
National Provider Identifier
1225220437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1083673792
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.