M E D Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1201482 Issued in OH

Legal business name

M E D SUPPLIES INC

Practice address

4005 Bach Buxton Rd
Amelia, OH 45102-1047

Phone

(513) 965-0999

Fax

(513) 965-9777

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Lynn Jackson

Title

Treasurer

Phone

(513) 976-0999

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• M E D Supplies Inc Other name

Locations

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1699754366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 BACH BUXTON RD",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021047",
            "telephone_number": "513-965-0999",
            "fax_number": "513-965-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 BACH BUXTON RD",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021047",
            "telephone_number": "513-965-0999",
            "fax_number": "513-965-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M E D SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "513-976-0999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1201482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338670A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "31175086003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000204799",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228262",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90002437",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M E D Supplies Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah M Limbach, QMHS BA
• James S Liming
• Sara Marie Liming, SUPPORT PROVIDER
• Celeste Lopez, MA CCC-SLP
• Alexis Marie Luster, CDCA
• Hannah Mahoney
• Marae Martin, LISW
• Taylor Elise Mathis, PHARM.D.
• Ashley McPike, COTA
• Jennifer Meeks, FNP-C

• Durable Medical Equipment & Medical Supplies in Amelia, OH
• Providers in Amelia, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.