Medsupply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSUPPLY

Practice address

3119 Tomahawk Dr
Stockton, CA 95205-2472

Phone

(559) 292-1540

NPI assigned

Apr 21, 2023

Organization subpart

Yes

Parent organization

MEDSUPPLYAs reported in NPPES

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

Authorized official

Name

Adam James Frerichs

Title

President

Phone

(559) 696-9356

Specialties & licenses 1

Addresses

Tax ID family

Medsupply2 organizations share this tax ID, including this one

Part of

Medsupply

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medsupply

  • Oxygen Equipment & Supplies (DME)
  • Fresno, CA
  • NPI 1619021292
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medsupply

  • Oxygen Equipment & Supplies (DME)
  • Fresno, CA
  • NPI 1619021292
  NPPES parent name

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1396432035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 TOMAHAWK DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952052472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 TOMAHAWK DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952052472",
            "telephone_number": "559-292-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSUPPLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSUPPLY",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "FRERICHS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-696-9356"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xanat Sarai Medina
• Alexander Brian Medler
• Thomas Medley
• Medmark Treatment Centers - Stockton, Inc.
• Adolf Medrano
• Stefan Jonathan Meers Estrada, PA-C
• Joshua Megli
• Hailu Solomon Mehanzel, DMD
• Mehdi Akhavan-Heidari MD Inc
• Aminder S Mehdi, MD

• Durable Medical Equipment & Medical Supplies in Stockton, CA
• Providers in Stockton, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.