Active NPI
Wrenn Medical Supply
- Durable Medical Equipment & Medical Supplies
- Fort Worth, TX
National Provider Identifier
1740354703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0057283
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.