Robert Lee McLeroy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROBERT LEE MCLEROY

Doing business as

Diabetic Store and More

Practice address

28 Chase St
Byhalia, MS 38611-7363

Phone

(662) 838-4500

Fax

(662) 838-4502

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Waldrop, CFT

Title

Secretary

Phone

(662) 838-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diabetic Store and More Doing business as

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1578822169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117363",
            "telephone_number": "662-838-4500",
            "fax_number": "662-838-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117363",
            "telephone_number": "662-838-4500",
            "fax_number": "662-838-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE MCLEROY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "662-838-4500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED",
            "identifier": "1234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Store and More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Katrice Phillips, OTR/L
• Merlanda Y Powell, LCSW
• Kathryn Claire Pruitt, APN
• Kena Aneyshia Rayford
• Tirra Ronetta Rayford
• Clifton Rodgers, M.D.
• Tracy A Scott, FNP-C
• Khadijah Capri Sheard, RN
• Shepherds
• Speedy Care Clinic

• Durable Medical Equipment & Medical Supplies in Byhalia, MS
• Providers in Byhalia, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.