Organization Active NPI

Edna J Stewart

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1619007069
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
160000608 Issued in TN
Legal business name
EDNA J STEWART
Practice address
839 Brandywine Blvd
Memphis, TN 38127-2059
Phone
(901) 357-0932
Fax
(901) 357-0868
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Edna J Stewart
Title
President
Phone
(901) 357-0932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 160000608 TN Primary

Addresses

Primary practice location

839 Brandywine Blvd
Memphis, TN 38127-2059

Mailing address

839 Brandywine Blvd
Memphis, TN 38127-2059
Phone (901) 357-0932

Other identifiers 2

IdentifierTypeStateIssuer
4183091OtherTNBLUE CROSS BLUE SHIELD
Q023033MedicaidTN

Other names 1

  • French's Medical Supplies Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1619007069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BRANDYWINE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381272059",
            "telephone_number": "901-357-0932",
            "fax_number": "901-357-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BRANDYWINE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381272059",
            "telephone_number": "901-357-0932",
            "fax_number": "901-357-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA J STEWART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-357-0932"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "160000608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4183091",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023033",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "French's Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.