Organization Active NPI

Par Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Richton, MS
National Provider Identifier
1689010209
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAR MEDICAL INC
Practice address
156 Apple Avenue.
Richton, MS 39476
Phone
(601) 788-2880
Fax
(601) 788-2880
NPI assigned
May 22, 2013
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PAR MEDICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Mr. Herbert Oliver Kittrell
Title
President
Phone
(504) 455-3853

Specialties & licenses 1

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

Addresses

Primary practice location

156 Apple Avenue.
Richton, MS 39476

Mailing address

12 B Sussex St
Kenner, LA 70062
Phone (504) 464-0677

Other identifiers 1

IdentifierTypeStateIssuer
04024846MedicaidMS

National Provider Directory

National Provider Directory
Part of
Par Medical Inc

Locations

156 Apple Ave
Richton, MS 39476
Phone (601) 788-2880

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1689010209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 B SUSSEX ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062",
            "telephone_number": "504-464-0677",
            "fax_number": "504-464-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 APPLE AVENUE.",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "39476",
            "telephone_number": "601-788-2880",
            "fax_number": "601-788-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAR MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAR MEDICAL INC",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "KITTRELL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-455-3853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04024846",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.