Organization Active NPI

Medsupply

  • Durable Medical Equipment & Medical Supplies
  • Kennewick, WA
National Provider Identifier
1437866803
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDSUPPLY
Practice address
3311 W Clearwater Ave Ste D109
Kennewick, WA 99336-2929
Phone
(509) 987-1056
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Adam James Frerichs
Title
Chief Executive Officer
Phone
(559) 696-9356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3311 W Clearwater Ave Ste D109
Kennewick, WA 99336-2929

Mailing address

5105 E Dakota Ave Ste 102
Fresno, CA 93727-7443

National Provider Directory

National Provider Directory

Locations

5105 E Dakota Ave
Ste 102
Fresno, CA 93727
Phone (559) 292-1540

3311 W Clearwater Ave
Kennewick, WA 99336

3311 W Clearwater Ave
Ste D109
Kennewick, WA 99336
Phone (509) 987-1056

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1437866803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 E DAKOTA AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937277443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 W CLEARWATER AVE STE D109",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362929",
            "telephone_number": "509-987-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "FRERICHS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "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": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.