Riverside Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIVERSIDE MEDICAL SUPPLY, INC

Practice address

208 Mickey Gilley Ave
Ferriday, LA 71334-2834

Phone

(318) 757-2530

Fax

(318) 757-2540

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Bonnie Sue Freeman

Title

President

Phone

(318) 757-6292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1366686412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "address_2": "208 MICKEY GILLEY AVENUE",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340326",
            "telephone_number": "318-757-2530",
            "fax_number": "318-757-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MICKEY GILLEY AVE",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713342834",
            "telephone_number": "318-757-2530",
            "fax_number": "318-757-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-757-6292"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana Kay Patterson, CFNP
• Keisha Prosser, MS
• Sandra Gail Pryor
• Reliable Hands Transportation LLC
• Relief Personal Care Services,LLC
• Jaswanique Daon Ross
• Jennifer Ryan
• Shekeidra Sanders
• Sarah Lee, M.D., L.L.C.
• Jasmine J Schiele

• Durable Medical Equipment & Medical Supplies in Ferriday, LA
• Providers in Ferriday, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.