Tricare Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRICARE MEDICAL SUPPLIES, INC.

Practice address

104 Glen Oak Blvd Ste 120
Hendersonville, TN 37075-6421

Phone

(615) 991-5970

Fax

(615) 991-5982

NPI assigned

May 23, 2018

Last updated

May 23, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

TRICARE MEDICAL SUPPLIES, INC.As reported in NPPES

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

Authorized official

Name

Ansari M Kassim

Title

President/Ceo

Phone

(615) 230-3000

Specialties & licenses 1

Addresses

Tax ID family

Tricare Medical Supplies Inc2 organizations share this tax ID, including this one

Part of

Tricare Medical Supplies Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tricare Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Gallatin, TN
  • NPI 1730372798
  NPD tax ID

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1336630508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GLEN OAK BLVD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756421",
            "telephone_number": "615-991-5970",
            "fax_number": "615-991-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GLEN OAK BLVD STE 120",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756421",
            "telephone_number": "615-991-5970",
            "fax_number": "615-991-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRICARE MEDICAL SUPPLIES, INC.",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "ANSARI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "615-230-3000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Trawick
• Marc Tressler, DO
• Tri Med Pharmacy Services
• Tri-Med Pharmacy LLC (Orion Rx - Hendersonville)
• Tri-Med Pharmacy Services, LLC #2
• Autumn Francis Triggs, OTR/L, OTD
• Dominique Triplett
• Michael Triplett
• Tristar Tennessee Heart and Vascular LLC
• Jacqueline Troche

• Durable Medical Equipment & Medical Supplies in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.