Active NPI
Kilmichael Medical Suppliers
Doing business as InHealth Medical Supplies
- Pharmacist
- Winona, MS
National Provider Identifier
1609076702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- KILMICHAEL MEDICAL SUPPLIERS
- Doing business as
- InHealth Medical Supplies
- Practice address
- 107 N Front Street
Winona, MS 38967 - Phone
- (662) 283-1551
- Fax
- (662) 283-2332
- NPI assigned
- Jul 18, 2007
- Last updated
- Jul 18, 2007
- Organization subpart
- Yes
- Parent organization
- KILMICHAEL MEDICAL SUPPLIERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith W Ware, RT
- Title
- President
- Phone
- (662) 283-1551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | MS | Primary |
Addresses
Primary practice location
107 N Front Street
Winona, MS 38967
Mailing address
PO Box 185
Kilmichael, MS 39747
Phone (662) 283-1551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00330316 | Medicaid | MS | |
| 00440411 | Medicaid | MS |
Other names 1
- InHealth Medical Supplies
National Provider Directory
National Provider Directory- Tax ID family
- Kilmichael Medical Suppliers
- Part of
- Kilmichael Medical Suppliers
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba InHealth Medical Suppliers
- Oxygen Equipment & Supplies (DME)
- Grenada, MS
- NPI 1982928768
-
- Community/Retail Pharmacy
- Winona, MS
- NPI 1336256858
Locations
107 N Front St
Winona, MS 38967
Phone (662) 283-1551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184716800000",
"number": "1609076702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "KILMICHAEL",
"state": "MS",
"postal_code": "39747",
"telephone_number": "662-283-1551",
"fax_number": "662-283-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N FRONT STREET",
"city": "WINONA",
"state": "MS",
"postal_code": "38967",
"telephone_number": "662-283-1551",
"fax_number": "662-283-2332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KILMICHAEL MEDICAL SUPPLIERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KILMICHAEL MEDICAL SUPPLIERS",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-283-1551",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00330316",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440411",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "InHealth Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winona, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.