Organization Active NPI

Fresh Air Oxygen and Medical Supply

Doing business as Fresh Air Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Marshall, TX
National Provider Identifier
1679563720
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
24241 Issued in TX
Legal business name
FRESH AIR OXYGEN AND MEDICAL SUPPLY
Doing business as
Fresh Air Pharmacy
Practice address
1306 S Washington Ave
Marshall, TX 75670-6216
Phone
(903) 927-1135
Fax
(903) 927-2232
NPI assigned
Oct 27, 2005
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Susan Marie Thornton
Title
President/Owner
Phone
(903) 927-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 24241 TX Primary

Addresses

Primary practice location

1306 S Washington Ave
Marshall, TX 75670-6216

Mailing address

PO Box 1281
Marshall, TX 75671-1281

Other identifiers 2

IdentifierTypeStateIssuer
175999501MedicaidTX
2098692OtherPK

Other names 1

  • FRESH AIR PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072801 TX DME Supplier - PharmacyDME Supplier - Oxygen & Equipment 7113085291 Practice locations: Marshall, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Fresh Air1306 S Washington Ave, Marshall, TX 75670-6216(903) 927-1135 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Trans… Does not accept assignmentParticipating since Aug 9, 2005

National Provider Directory

National Provider Directory

Locations

1306 S Washington Ave
Marshall, TX 75670
Phone (903) 927-1135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1679563720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1281",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706216",
            "telephone_number": "903-927-1135",
            "fax_number": "903-927-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH AIR OXYGEN AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "903-927-1135"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "24241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175999501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESH AIR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRESH AIR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.