Organization Active NPI

Beacon Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Farmers Branch, TX
National Provider Identifier
1639949993
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEACON MEDICAL SUPPLY LLC
Practice address
12100 Ford Rd Ste B366
Farmers Branch, TX 75234-7243
Phone
(469) 264-5444
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Namra Farooq
Title
Director
Phone
(469) 264-5455

Specialties & licenses 1

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

Addresses

Primary practice location

12100 Ford Rd Ste B366
Farmers Branch, TX 75234-7243

Mailing address

12100 Ford Rd Ste B366
Farmers Branch, TX 75234-7243
Phone (469) 264-5444

National Provider Directory

National Provider Directory

Locations

12100 Ford Rd
Ste B366
Farmers Branch, TX 75234
Phone (469) 264-5444

12000 Ford Rd
Ste B366
Farmers Branch, TX 75234

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1639949993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 FORD RD STE B366",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347243",
            "telephone_number": "469-264-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 FORD RD STE B366",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347243",
            "telephone_number": "469-264-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "NAMRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-264-5455"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.