Larry Carlton Jenkins

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

05068/11.1 Issued in MS

Practice address

912 Highway 15
Stringer, MS 39481-4230

Phone

(601) 649-4418

Fax

(601) 649-4487

NPI assigned

Jul 11, 2006

Last updated

Mar 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Available Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stringer, MS
  • NPI 1700073905
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1285669150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 HIGHWAY 15",
            "address_2": "PO BOX 128",
            "city": "STRINGER",
            "state": "MS",
            "postal_code": "394810128",
            "telephone_number": "601-649-4418",
            "fax_number": "601-649-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 HIGHWAY 15",
            "city": "STRINGER",
            "state": "MS",
            "postal_code": "394814230",
            "telephone_number": "601-649-4418",
            "fax_number": "601-649-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LARRY",
        "middle_name": "CARLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "05068/11.1",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "05321/02.5",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330648",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1700073905",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440829",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Available Medical Supplies, Inc.
• James Blackledge, RPH
• Dana Gavin, LMFT
• Sidney Seth Hester
• Barry Porter, RN

• Durable Medical Equipment & Medical Supplies in Stringer, MS
• Providers in Stringer, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.