Active NPI
Mary'S Medico Rental & Sales, Inc.
- Durable Medical Equipment & Medical Supplies
- Malvern, AR
National Provider Identifier
1699707349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MARY'S MEDICO RENTAL & SALES, INC.
- Practice address
- 1023 E Page Ave
Malvern, AR 72104-4363 - Phone
- (501) 337-4181
- Fax
- (501) 337-4636
- NPI assigned
- Jul 6, 2006
- 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
- Mrs. Lea R McNary Childress
- Title
- President and Owner
- Phone
- (501) 337-4181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1023 E Page Ave
Malvern, AR 72104-4363
Mailing address
1023 E Page Ave
Malvern, AR 72104-4363
Phone (501) 337-4181
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102639716 | Medicaid | AR | |
| P10001315478 | Other | AR | AMBETTER OF ARKANSAS |
| 1243853 | Other | AR | WELLCARE |
| 47813 | Other | AR | BLUE CROSS BLUE SHIELD |
Other names 1
- Medico Rental & Sales
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503964800000",
"number": "1699707349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 E PAGE AVE",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044363",
"telephone_number": "501-337-4181",
"fax_number": "501-337-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 E PAGE AVE",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044363",
"telephone_number": "501-337-4181",
"fax_number": "501-337-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY'S MEDICO RENTAL & SALES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2017-08-29",
"status": "A",
"authorized_official_last_name": "MCNARY CHILDRESS",
"authorized_official_first_name": "LEA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT AND OWNER",
"authorized_official_telephone_number": "501-337-4181",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102639716",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMBETTER OF ARKANSAS",
"identifier": "P10001315478",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1243853",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47813",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medico Rental & Sales",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.