Supllies Med LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUPLLIES MED LLC

Practice address

130 N Preston Rd Ste 337
Prosper, TX 75078-3192

Phone

(940) 843-3908

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Misbah Kishwar

Title

Owner

Phone

(940) 843-3908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1407695364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD STE 337",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783192",
            "telephone_number": "940-843-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD STE 337",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783192",
            "telephone_number": "940-843-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPLLIES MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "KISHWAR",
        "authorized_official_first_name": "MISBAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-843-3908"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Prosper, TX
• Providers in Prosper, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

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