Roxanne M. Oakley

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06588/11.1 Issued in MS

Legal business name

ROXANNE M. OAKLEY

Doing business as

Booneville Metro Medical Supply

Practice address

317 Heritage Dr.
Suite 2
Oxford, MS 38655-5402

Phone

(662) 233-5279

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Roxanne Mabry Oakley

Title

Owner

Phone

(662) 233-5279

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Booneville Metro Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1356353031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HERITAGE DR.",
            "address_2": "SUITE 2",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-233-5279",
            "fax_number": "662-233-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HERITAGE DR.",
            "address_2": "SUITE 2",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555402",
            "telephone_number": "662-233-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE M. OAKLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "MABRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-233-5279",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06588/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082313",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Booneville Metro Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Nicole Ross
• Lisa Ross
• Paul Dean Ross, M.ED.
• Peter Samir Ross, PHARMD
• Stuart Todd Roth, MD
• Walter Thomas Rueff Jr., M.A.
• Tiana Rule
• Angela Joy Rusk, MA
• Virgie Russell-Angle
• Julie Russell

• Durable Medical Equipment & Medical Supplies in Oxford, MS
• Providers in Oxford, 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 Apr 15, 2009; 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.