Organization 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
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0037355 Issued in TX
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
509676OtherTXBCBS PROVIDER NUMBER

Other names 1

  • Wichita Medical Supply Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038123 TX DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7113044389 Practice locations: Wichita Falls, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Wichita Medical Supply Co4208 Henry S Grace Fwy, Wichita Falls, TX 76302-2201(940) 723-9242 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.