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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 24241
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175999501 | Medicaid | TX | |
| 2098692 | Other | PK |
Other names 1
- FRESH AIR PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072801 | TX | DME Supplier - Pharmacy | 7113085291 | Practice locations: Marshall, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fresh Air | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Marshall, TX
- NPI 1003781758
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.