Medical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264712 Issued in MN

Legal business name

MEDICAL SUPPLIES INC

Doing business as

Trucare Pharmacy

Practice address

320 4TH St SW Ste 1
Willmar, MN 56201-3392

Phone

(320) 441-7011

Fax

(320) 441-7008

NPI assigned

Dec 20, 2007

Last updated

Oct 9, 2019By 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

Debra Shriver

Title

Ceo

Phone

(320) 231-2738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRUCARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1134268014

  9335343326

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Medical Supplies Inc2 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.

• Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1134268014
  NPD tax ID

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1649454133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 4TH ST SW STE 3",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013332",
            "telephone_number": "320-441-7011",
            "fax_number": "320-441-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 4TH ST SW STE 1",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013392",
            "telephone_number": "320-441-7011",
            "fax_number": "320-441-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SHRIVER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-231-2738"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049341",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRUCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayli Lynn McCann, PHARMD
• Rebecca McCleery, PHARM. D.
• Mary McDonnell, LICSW
• Nicole McKay
• McPark LTD (Prescription Center)
• Medical Supplies Inc.
• Medicruise Transportation LLC
• Stephen Mark Medin, D.D.S.
• Medway Transportation
• Jerry L Meinders

• Community/Retail Pharmacy in Willmar, MN
• Providers in Willmar, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.