Organization Active NPI

Priority Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Laurel, MS
National Provider Identifier
1467457986
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
06185/11.1 Issued in MS
Legal business name
PRIORITY MEDICAL SUPPLY INC
Practice address
127 South 15TH Ave
Laurel, MS 39440-4123
Phone
(601) 649-2212
Fax
(601) 649-2110
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mr. Donald H Pugh Sr.
Title
Ceo
Phone
(601) 319-1211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 016041766 MS
Oxygen Equipment & Supplies (DME) 332BX2000X 06185/11.1 MS Primary

Addresses

Primary practice location

127 South 15TH Ave
Laurel, MS 39440-4123

Mailing address

PO Box 6370
Laurel, MS 39440-4123
Phone (601) 649-2212

Other identifiers 1

IdentifierTypeStateIssuer
03123717MedicaidMS

Other names 1

  • PMSI Doing business as

National Provider Directory

National Provider Directory

Locations

127 S 15th Ave
Laurel, MS 39440
Phone (601) 649-2212

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1467457986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6370",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404123",
            "telephone_number": "601-649-2212",
            "fax_number": "601-649-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SOUTH 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404123",
            "telephone_number": "601-649-2212",
            "fax_number": "601-649-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-319-1211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "016041766",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "06185/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03123717",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMSI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.