Active NPI
R & D Medical Enterprises, Inc.
Doing business as Wichita Medical Supply Company
- Durable Medical Equipment & Medical Supplies
- Wichita Falls, TX
National Provider Identifier
1700833043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0037355
- Legal business name
- R & D MEDICAL ENTERPRISES, INC.
- Doing business as
- Wichita Medical Supply Company
- Practice address
- 4208 Henry Grace Fwy
Wichita Falls, TX 76302-2201 - Phone
- (940) 723-9242
- Fax
- (940) 767-4412
- NPI assigned
- May 30, 2006
- Last updated
- Nov 7, 2007
- 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
- Rodney Horn
- Title
- President
- Phone
- (940) 723-9242
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0037355 | TX | Primary |
| Customized Equipment (DME) | 332BC3200X | 0037355 | TX | |
| Nursing Facility Supplies (DME) | 332BN1400X | 0037355 | TX | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0037355 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0037355 | TX |
Addresses
Primary practice location
4208 Henry Grace Fwy
Wichita Falls, TX 76302-2201
Mailing address
4208 Henry Grace Fwy
Wichita Falls, TX 76302-2201
Phone (940) 723-9242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509676 | Other | TX | BCBS PROVIDER NUMBER |
Other names 1
- Wichita Medical Supply Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038123 | TX | DME Supplier - Medical Supply Company | 7113044389 | Practice locations: Wichita Falls, 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 |
|---|---|---|
| Wichita Medical Supply Co | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
4208 Henry S Grace Fwy
Wichita Falls, TX 76302
Phone (940) 723-9242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1700833043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 HENRY GRACE FWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022201",
"telephone_number": "940-723-9242",
"fax_number": "940-767-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 HENRY GRACE FWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022201",
"telephone_number": "940-723-9242",
"fax_number": "940-767-4412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & D MEDICAL ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "HORN",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-723-9242"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0037355",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "TX",
"license": "0037355",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "TX",
"license": "0037355",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0037355",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0037355",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "509676",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wichita Medical Supply Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.