Organization Active NPI

Accurate Medical Equipment & Supply Co Inc

  • Pharmacy
  • Fort Worth, TX
National Provider Identifier
1497758361
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
13285 Issued in TX
Legal business name
ACCURATE MEDICAL EQUIPMENT & SUPPLY CO INC
Practice address
550 Hemphill St
Fort Worth, TX 76104-2252
Phone
(817) 882-1111
Fax
(817) 882-1118
NPI assigned
May 24, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Shannon Michael Reeves Jr.
Title
President Ceo
Phone
(817) 878-5030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X 13285 TX Primary

Addresses

Primary practice location

550 Hemphill St
Fort Worth, TX 76104-2252

Mailing address

550 Hemphill St
Fort Worth, TX 76104-2252
Phone (817) 882-1111

Other identifiers 8

IdentifierTypeStateIssuer
6014617MedicaidWA
0014052730002MedicaidPA
509449OtherTXBCBS PROVIDER NUMBER
0220255MedicaidOH
143915MedicaidTX
4581931MedicaidTN
81602800MedicaidWI
1531677MedicaidLA

National Provider Directory

National Provider Directory

Locations

550 Hemphill St
Fort Worth, TX 76104
Phone (817) 882-1111

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497758361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042252",
            "telephone_number": "817-882-1111",
            "fax_number": "817-882-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042252",
            "telephone_number": "817-882-1111",
            "fax_number": "817-882-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE MEDICAL EQUIPMENT & SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "817-878-5030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6014617",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014052730002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "509449",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220255",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143915",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581931",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81602800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531677",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.