Family Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAMILY MEDICAL SUPPLY LLC

Practice address

217 Arrowhead Blvd Ste D2
Jonesboro, GA 30236-1169

Phone

(470) 615-7958

NPI assigned

Aug 5, 2022

Last updated

Dec 10, 2022By 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. Lacy Duffey Jr.

Title

Managing Member

Phone

(404) 272-7140

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670630400000",
    "number": "1629705900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE D2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "470-615-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE D2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "470-615-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A",
        "authorized_official_last_name": "DUFFEY",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-272-7140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lacyduffey@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "217 Arrowhead Blvd Ste D2",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302361169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; 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.