Organization Active NPI

Dyersburg Uniform Shoppe

  • Durable Medical Equipment & Medical Supplies
  • Dyersburg, TN
National Provider Identifier
1740454636
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DYERSBURG UNIFORM SHOPPE
Practice address
2455 Lake Rd
Dyersburg Uniform Shoppe
Dyersburg, TN 38024
Phone
(731) 285-1778
Fax
(731) 285-1766
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Tommye Carolyn Joslin
Title
Owner
Phone
(731) 285-1778

Specialties & licenses 1

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

Addresses

Primary practice location

2455 Lake Rd
Dyersburg Uniform Shoppe
Dyersburg, TN 38024

Mailing address

2455 Lake Rd
Dyersburg Uniform Shoppe
Dyersburg, TN 38024
Phone (731) 285-1778

National Provider Directory

National Provider Directory

Locations

2455 Lake Rd
Dyersburg, TN 38024
Phone (731) 285-1778

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1740454636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 LAKE RD",
            "address_2": "DYERSBURG UNIFORM SHOPPE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-1778",
            "fax_number": "731-285-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 LAKE RD",
            "address_2": "DYERSBURG UNIFORM SHOPPE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-1778",
            "fax_number": "731-285-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG UNIFORM SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "JOSLIN",
        "authorized_official_first_name": "TOMMYE",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-285-1778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.