The Medical Store, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE MEDICAL STORE, INC.

Practice address

210 Canal PL
Philadelphia, MS 39350-8909

Phone

(601) 676-0081

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

David Butler

Title

Cfo

Phone

(601) 703-9987

Specialties & licenses 1

Addresses

Other names 1

• The Medical Store, Inc./Philadelphia Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1730799982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5502",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025502",
            "telephone_number": "601-676-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CANAL PL",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393508909",
            "telephone_number": "601-676-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-703-9987"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Store, Inc./Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medical Store, Inc./Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trent A Stribling, O.D.
• Surgery Clinic of Philadelphia
• Kimberly Nicole Tadlock, RDN
• Katie Taylor, CMHC
• Shelby Smith Thames
• Denita Kaye Thomas, FNP
• Julie Thomas
• Thomasson Land Holdings, LLC
• Hailey Elizabeth Thompson, DO
• Harold D Thompson

• Durable Medical Equipment & Medical Supplies in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.