Organization Active NPI

Enteral Products LLC

Doing business as EPL Diabetic

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1285078717
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
000001161 Issued in TN
Legal business name
ENTERAL PRODUCTS LLC
Doing business as
EPL Diabetic
Practice address
1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128
Phone
(877) 863-9266
Fax
(901) 260-5202
NPI assigned
Apr 26, 2013
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Yisorel Z Rechnitz
Title
Authorized Official
Phone
(877) 863-9266

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C000958 AZ
Durable Medical Equipment & Medical Supplies 332B00000X MG01489 AR
Durable Medical Equipment & Medical Supplies 332B00000X 73161 CA
Durable Medical Equipment & Medical Supplies 332B00000X CSW.0003218 CT
Durable Medical Equipment & Medical Supplies 332B00000X DME34534 ID
Durable Medical Equipment & Medical Supplies 332B00000X HME00761 KY
Durable Medical Equipment & Medical Supplies 332B00000X DME.000518 LA
Durable Medical Equipment & Medical Supplies 332B00000X R3457 MD
Durable Medical Equipment & Medical Supplies 332B00000X MP01209 NV
Durable Medical Equipment & Medical Supplies 332B00000X NPC0004081 OR
Durable Medical Equipment & Medical Supplies 332B00000X 6000008495 PA
Durable Medical Equipment & Medical Supplies 332B00000X 000001161 TN Primary

Addresses

Primary practice location

1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128

Mailing address

1760 Moriah Woods Blvd
2-B
Memphis, TN 38117-7128
Phone (877) 863-9266

Other names 1

  • EPL Diabetic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1263 Heil Quaker Blvd
Ste B
La Vergne, TN 37086
Phone (615) 358-0421

1760 Moriah Woods Blvd
#2B
Memphis, TN 38117
Phone (877) 863-9266

1760 Moriah Woods Blvd
Ste 2B
Memphis, TN 38117
Phone (877) 863-9266

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1285078717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 MORIAH WOODS BLVD",
            "address_2": "2-B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177128",
            "telephone_number": "877-863-9266",
            "fax_number": "901-260-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 MORIAH WOODS BLVD",
            "address_2": "2-B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177128",
            "telephone_number": "877-863-9266",
            "fax_number": "901-260-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERAL PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "YISOREL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "877-863-9266"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "C000958",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG01489",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "73161",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "CSW.0003218",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME34534",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "HME00761",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "DME.000518",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "R3457",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "MP01209",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC0004081",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000008495",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "000001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPL Diabetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.