Organization Active NPI

Wrenn Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1740354703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0057283 Issued in TX
Legal business name
WRENN MEDICAL SUPPLY
Practice address
2834 SE Loop 820
Fort Worth, TX 76140-1018
Phone
(817) 568-1112
Fax
(817) 568-8306
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Darrell Shaw Wrenn
Title
Owner
Phone
(817) 568-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0057283 TX Primary

Addresses

Primary practice location

2834 SE Loop 820
Fort Worth, TX 76140-1018

Mailing address

2834 SE Loop 820
Fort Worth, TX 76140-1018
Phone (817) 568-1112

National Provider Directory

National Provider Directory

Locations

2834 SE Loop 820
Fort Worth, TX 76140
Phone (817) 568-1112

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740354703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401018",
            "telephone_number": "817-568-1112",
            "fax_number": "817-568-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401018",
            "telephone_number": "817-568-1112",
            "fax_number": "817-568-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRENN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRENN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "SHAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-568-1112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0057283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.