NPIMap

Organization Active NPI

Favored Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lake Charles, LA
National Provider Identifier
1487885802
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00038203 Issued in LA
Legal business name
FAVORED MEDICAL SUPPLY
Practice address
1609 Orchid St
Lake Charles, LA 70601-7779
Phone
(337) 438-1645
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mr. Gabriel WilliamsNPI 1659797595
Title
Marketing Executive
Phone
(337) 438-1645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00038203 LA Primary

Addresses

Primary practice location

1609 Orchid St
Lake Charles, LA 70601-7779

Mailing address

1609 Orchid St
Lake Charles, LA 70601-7779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1487885802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 ORCHID ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 ORCHID ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017779",
            "telephone_number": "337-438-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORED MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "MARKETING EXECUTIVE",
        "authorized_official_telephone_number": "337-438-1645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "00038203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.