Organization Active NPI

Medco, L.L.C.

  • Nursing Facility Supplies (DME)
  • Alexander City, AL
National Provider Identifier
1417154279
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
MEDCO, L.L.C.
Practice address
3691 Dadeville Rd
Alexander City, AL 35010-4501
Phone
(256) 215-3889
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Rodney Miller
Title
General Manager
Phone
(256) 215-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

3691 Dadeville Rd
Alexander City, AL 35010-4501

Mailing address

3691 Dadeville Rd
Alexander City, AL 35010-4501
Phone (256) 215-3889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000504 AL DME Supplier - Medical Supply Company 3476749441 Practice locations: Alexander City, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Medco LLC3691 Dadeville Rd, Alexander City, AL 35010-4501(256) 215-3889 Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies Accepts assignmentParticipating since Dec 2, 2010

National Provider Directory

National Provider Directory

Locations

3691 Dadeville Rd
Alexander City, AL 35010
Phone (256) 215-3889

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1417154279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 DADEVILLE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104501",
            "telephone_number": "256-215-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 DADEVILLE RD",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104501",
            "telephone_number": "256-215-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "256-215-3889"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.