Medline 1 LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MEDLINE 1 LLC

Practice address

4440 Liverpool LN
Southaven, MS 38671-7512

Phone

(901) 268-8899

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Juanita Marie Lundy

Title

Owner

Phone

(901) 268-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medline 1 LLC Other name

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1306324686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LIVERPOOL LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717512",
            "telephone_number": "901-268-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LIVERPOOL LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717512",
            "telephone_number": "901-268-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-268-8899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837X0",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline 1 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medline 1 LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meagan Michell McPherson, LPC, M.ED, NCC
• Bobbi McWhinney, ATC/L
• Grace Means, COTA/L
• Med Plus, Inc.
• Medical Equipment Center LLC
• Medline Industries, LP
• Olivia Meggs, PA-C
• Usha J Mehta, M.D.,F.A.C.O.G.
• Hilary Meier, M.S.
• Jacey Melder, LPC

• Transportation Broker in Southaven, MS
• Providers in Southaven, MS by specialty
• Transportation Broker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.