Your Choice Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

08160/11.1 Issued in MS

Legal business name

YOUR CHOICE MEDICAL SUPPLY LLC

Practice address

3246 Medgar Evers Blvd
Jackson, MS 39213-6842

Phone

(601) 291-2362

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ernest Gaines

Title

Member

Phone

(601) 291-2362

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1649403833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 MEDGAR EVERS BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136842",
            "telephone_number": "601-291-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 MEDGAR EVERS BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136842",
            "telephone_number": "601-291-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-291-2362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "08160/11.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy H Young, M.D.
• Tara Young, CMHT, LMSW
• Thomas Cole Young, M.D.
• Sloan Curry Youngblood, MD
• Ka'Trevia Younger, NP-C
• Your New Beginning Counseling Services, LLC
• Malaz Yousif
• Gabriella Regina Yray Decker
• Fangzhou Yu, PH.D.
• Katelyn Renee Yucatonis, CRNA

• Durable Medical Equipment & Medical Supplies in Jackson, MS
• Providers in Jackson, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.