Prestige Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRESTIGE MEDICAL SUPPLY INC

Practice address

2301 Congress CV
Jonesboro, AR 72401-2557

Phone

(877) 472-1102

Fax

(855) 933-7002

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Terry Scott Gentry

Title

Owner

Phone

(877) 472-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1366879603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CONGRESS CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012557",
            "telephone_number": "877-472-1102",
            "fax_number": "855-933-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CONGRESS CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012557",
            "telephone_number": "877-472-1102",
            "fax_number": "855-933-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-472-1102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett A Presley, LCSW, DCSW, MSWAC
• Sarah L Presley, LPN
• Lisa Marie Pressnell, MSN-APN
• Graceon Prestidge
• Prestige Care, PLLC
• Tybreunna Preston
• Robert Prevo
• Herbert H Price III, M.D.
• Kristin Nicole Price, PHARMD
• Paige P Price

• Durable Medical Equipment & Medical Supplies in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.