Medical Shoppe Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SHOPPE INC

Practice address

101 Jackson Pike
Gallipolis, OH 45631

Phone

(740) 446-2206

Fax

(740) 446-3509

NPI assigned

Oct 31, 2006

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

April Michelle Burgett

Title

Vice President

Phone

(740) 446-2206

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These 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

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1376629568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311542",
            "telephone_number": "740-446-2206",
            "fax_number": "740-446-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "45631",
            "telephone_number": "740-446-2206",
            "fax_number": "740-446-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "BURGETT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-446-2206"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cadha McKean
• Rachel McMillan, CDCA
• McKinsey McPherson
• Medical Associates of Gallipolis Inc
• Medical Service Options Inc (Comprehensive Addiction Care Centers)
• Pamela S Meek
• Shailen K. Mehta, M.D.
• Richard J. Mendieta, M.D.
• Darla Jean Merola, LCDC III
• Rebecca Dawn Merrill

• Durable Medical Equipment & Medical Supplies in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.

Verify at the official NPI Registry.