Active NPI
Medical Solutions of Arkansas, LLC
- Oxygen Equipment & Supplies (DME)
- Jonesboro, AR
National Provider Identifier
1356410864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MEDICAL SOLUTIONS OF ARKANSAS, LLC
- Practice address
- 1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344 - Phone
- (870) 910-0400
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daren Martin Berry
- Title
- Vice President
- Phone
- (870) 897-2576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344
Mailing address
1000 E Matthews Ave Ste F
Jonesboro, AR 72401-4344
Phone (870) 910-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164325716 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069933 | AR | DME Supplier - Medical Supply Company | 5597969121 | Practice locations: Jonesboro, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Solutions of Arkansas | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicl… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2929 S Caraway Rd
Ste 2
Jonesboro, AR 72401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Jonesboro, AR
- NPI 1003325788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1356410864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE F",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-910-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE F",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-910-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SOLUTIONS OF ARKANSAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "DAREN",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "870-897-2576",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164325716",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.