Organization Active NPI

Superior Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cape Girardeau, MO
National Provider Identifier
1669963187
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPERIOR MEDICAL SUPPLIES, LLC
Practice address
1021 Kingsway Dr
Cape Girardeau, MO 63701-3601
Phone
(573) 837-4017
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Chad Callis
Title
President
Phone
(314) 401-4993

Specialties & licenses 1

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

Addresses

Primary practice location

1021 Kingsway Dr
Cape Girardeau, MO 63701-3601

Mailing address

1021 Kingsway Dr
Cape Girardeau, MO 63701-3601
Phone (573) 837-4017

National Provider Directory

National Provider Directory

Locations

1021 Kingsway Dr
Cape Girardeau, MO 63701
Phone (573) 837-4017

2811 Wintergreen Rd
Ste B
Cape Girardeau, MO 63701

1021 Kingsway Dr
Ste 11D
Cape Girardeau, MO 63701
Phone (877) 761-1204

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1669963187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 KINGSWAY DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013601",
            "telephone_number": "573-837-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 KINGSWAY DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013601",
            "telephone_number": "573-837-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-401-4993"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.