Organization Active NPI

Square Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
National Provider Identifier
1548933567
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SQUARE MEDICAL SUPPLY LLC
Practice address
1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507
Phone
(615) 809-2035
Fax
(615) 956-6981
NPI assigned
Jul 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Ehis Murphy
Title
Manager
Phone
(615) 809-2035

Specialties & licenses 1

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

Addresses

Primary practice location

1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507

Mailing address

1806 Memorial Blvd Ste D
Murfreesboro, TN 37129-1507
Phone (615) 809-2035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102002003 TN DME Supplier - Medical Supply Company 6709274244 Practice locations: Murfreesboro, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Square Medical Supply LLC1806 Memorial Blvd, Murfreesboro, TN 37129-1507(615) 809-2035 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Suppli… Does not accept assignmentParticipating since Sep 17, 2021

National Provider Directory

National Provider Directory

Locations

1806 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 809-2035

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1548933567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 MEMORIAL BLVD STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291507",
            "telephone_number": "615-809-2035",
            "fax_number": "615-956-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 MEMORIAL BLVD STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291507",
            "telephone_number": "615-809-2035",
            "fax_number": "615-956-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "EHIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-809-2035"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.