Praize Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRAIZE MEDICAL SUPPLY

Practice address

3314 Woodhaven Rd
Memphis, TN 38128-4323

Phone

(901) 604-5076

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Miss Terrea Shenese Fleming

Title

Owner

Phone

(901) 604-5076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1275844110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 WOODHAVEN RD.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-604-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 WOODHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284323",
            "telephone_number": "901-604-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIZE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "TERREA",
        "authorized_official_middle_name": "SHENESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-604-5076",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.