Organization Active NPI

Accucare Medical

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1750540530
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000971 Issued in TN
Legal business name
ACCUCARE MEDICAL
Practice address
4108 S Plaza Dr
Memphis, TN 38116-6335
Phone
(901) 395-0075
Fax
(901) 395-0072
NPI assigned
Jun 5, 2008
Last updated
Sep 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Reshonda L McKinney-King
Title
Administrator
Phone
(901) 395-0075

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000971 TN Primary
Non-emergency Medical Transport (VAN) 343900000X T000356 TN
Private Vehicle 347C00000X T000356 TN

Addresses

Primary practice location

4108 S Plaza Dr
Memphis, TN 38116-6335

Mailing address

3121 Wallingford St
Memphis, TN 38118-3931
Phone (901) 395-0075

National Provider Directory

National Provider Directory

Locations

4108 S Plaza Dr
Memphis, TN 38116
Phone (901) 395-0075

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1750540530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 WALLINGFORD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183931",
            "telephone_number": "901-395-0075",
            "fax_number": "901-395-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 S PLAZA DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166335",
            "telephone_number": "901-395-0075",
            "fax_number": "901-395-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUCARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY-KING",
        "authorized_official_first_name": "RESHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-395-0075"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000971",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "T000356",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TN",
            "license": "T000356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.