Tyson Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TYSON MEDICAL SUPPLIES INC

Practice address

124 Old Mill Rd
Suite E
Greenville, SC 29607-5362

Phone

(864) 284-9200

Fax

(864) 284-9209

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Corey Weaver

Title

President

Phone

(864) 284-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1700078136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 OLD MILL RD",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075362",
            "telephone_number": "864-284-9200",
            "fax_number": "864-284-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 OLD MILL RD",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075362",
            "telephone_number": "864-284-9200",
            "fax_number": "864-284-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-284-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2675",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twin Med, LLC
• Cassandra Ann Twisdale, PHARMD
• Heather Faith Tyer, PA-C, MMSC, MPH
• Danielle Royal Tyler, PA-C
• Kacie Nicole Tyner, FNP-C
• Adam Beckett Tyson, M.D.
• Cathleen Tyson, OTR/L
• Elizabeth Streett Tyson, MD
• Megan Dennis Tyson
• Melinda K Tyson, MS

• Durable Medical Equipment & Medical Supplies in Greenville, SC
• Providers in Greenville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.