Medsupply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

43583 Issued in CA

Legal business name

MEDSUPPLY

Practice address

5105 E Dakota Ave Ste 102
Fresno, CA 93727-7443

Phone

(559) 292-1540

Fax

(559) 292-1539

NPI assigned

Jan 22, 2007

Last updated

Sep 22, 2020By 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

Mr. Adam J Frerichs

Title

President

Phone

(559) 292-1540

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Tax ID family

Medsupply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medsupply

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1396432035
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medsupply

  • Durable Medical Equipment & Medical Supplies
  • Stockton, CA
  • NPI 1396432035
  NPPES parent name

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1619021292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 E DAKOTA AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937277443",
            "telephone_number": "559-292-1540",
            "fax_number": "559-292-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 E DAKOTA AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937277443",
            "telephone_number": "559-292-1540",
            "fax_number": "559-292-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "FRERICHS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-292-1540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "43583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA HOME MEDICAL DEVICE",
            "identifier": "43583",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03428F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Medrano-Colon
• Ana Medrano, M.S., CCC-SLP
• Chaylyn Raquelle Medrano, RBT
• Jessica A Medrano
• Shawna Renee Medrano
• Eva S Mee, CATCI
• Maria Meeds, MT-BC
• Amanda Meeker
• Mariah Dawn Meeker
• Karina Megerdijian

• Oxygen Equipment & Supplies (DME) in Fresno, CA
• Providers in Fresno, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.