Medicalsupply Store LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICALSUPPLY STORE LLC

Practice address

2303 Dawson Rd Ste D
Albany, GA 31707-2715

Phone

(469) 404-4341

NPI assigned

Jan 24, 2026

Last updated

Jan 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tadra Barnes

Title

Ceo

Phone

(469) 798-7166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1508715483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "469-404-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "469-404-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALSUPPLY STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-798-7166"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.