Organization Active NPI

Supply Unlimited, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Leadington, MO
National Provider Identifier
1265542591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1291250001 Issued in MO
Legal business name
SUPPLY UNLIMITED, INC.
Practice address
19 Flemings St
Leadington, MO 63601-4401
Phone
(573) 431-6660
Fax
(573) 431-3313
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry Whitener
Title
President
Phone
(573) 431-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1291250001 MO Primary

Addresses

Primary practice location

19 Flemings St
Leadington, MO 63601-4401

Mailing address

PO Box 306
Park Hills, MO 63601-0306
Phone (573) 431-6660

National Provider Directory

National Provider Directory

Locations

19 Flemings St
Park Hills, MO 63601
Phone (573) 431-6660

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265542591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010306",
            "telephone_number": "573-431-6660",
            "fax_number": "573-431-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FLEMINGS ST",
            "city": "LEADINGTON",
            "state": "MO",
            "postal_code": "636014401",
            "telephone_number": "573-431-6660",
            "fax_number": "573-431-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLY UNLIMITED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITENER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-431-6660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "1291250001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leadington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.