Picayune Medical & Health Supplies Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0390811.1 Issued in MS

Legal business name

PICAYUNE MEDICAL & HEALTH SUPPLIES INC

Practice address

141 Kirkwood St
Picayune, MS 39466-3833

Phone

(601) 798-2100

Fax

(601) 798-5730

NPI assigned

Mar 1, 2007

Last updated

Mar 29, 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

Mr. Alan Keith Dossett, RPH

Title

President

Phone

(601) 798-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1376671537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 KIRKWOOD ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663833",
            "telephone_number": "601-798-2100",
            "fax_number": "601-798-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KIRKWOOD ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663833",
            "telephone_number": "601-798-2100",
            "fax_number": "601-798-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICAYUNE MEDICAL & HEALTH SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "DOSSETT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-798-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "0390811.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040265",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picayune Eye Clinic
• Picayune Family Health Center
• Picayune Family Practice Clinic, LLC (Picayune Family Clinic)
• Picayune General Dentistry, Inc.
• Picayune Homecare, LLC (Mississippi HomeCare of Picayune)
• Picayune Medical & Health Supplies Inc (medical center pharmacy)
• Picayune Physical Therapy Center
• Picayune Rehabilitation and Healthcare Center, LLC
• Picayune Rural Health Clinic
• Picayune School District

• Oxygen Equipment & Supplies (DME) in Picayune, MS
• Providers in Picayune, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.