Magnolia Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAGNOLIA MEDICAL SUPPLY

Practice address

1822 N Brunswick St
Wichita, KS 67212-1588

Phone

(774) 361-4056

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Syreeta Bulgin

Title

Owner

Phone

(774) 361-4056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1639733645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N BRUNSWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121588",
            "telephone_number": "774-361-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N BRUNSWICK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121588",
            "telephone_number": "774-361-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BULGIN",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-361-4056"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahsa Maghsoudi
• Elliot A Magidson, MD
• Nathan Parker Maginnis, MD
• Dalton Ray Magnani, PTA
• Victoria Lynn Magnett, LMSW, LMAC
• Nathan Z Magruder, LAC
• Rachel-Anne Magsalin
• Mitchell Mahan, STUDENT
• Joshua Lee Mahannah, RN
• Ahmad Mahdi

• Durable Medical Equipment & Medical Supplies in Wichita, KS
• Providers in Wichita, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.