Organization Active NPI

Tri-State Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
National Provider Identifier
1760460182
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
042 50518 2 Issued in SC
Legal business name
TRI-STATE MEDICAL SUPPLIES, LLC
Practice address
2375 E Main St
Suite a-106
Spartanburg, SC 29307-1434
Phone
(864) 579-2899
Fax
(864) 579-2844
NPI assigned
Jan 5, 2006
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Lindsay Smith
Title
Coo
Phone
(864) 579-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 042 50518 2 SC Primary

Addresses

Primary practice location

2375 E Main St
Suite a-106
Spartanburg, SC 29307-1434

Mailing address

2375 E Main St
Suite a-106
Spartanburg, SC 29307-1434
Phone (864) 579-2899

Other identifiers 1

IdentifierTypeStateIssuer
DE2662MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930074725 SC DME Supplier - Medical Supply Company 3870794019 Practice locations: Spartanburg, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tri-State Medical Supplies, LLC2375 E Main St, Spartanburg, SC 29307-1411(864) 579-2899 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supp… Does not accept assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Tri-State Medical Supplies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2375 E Main St
Ste A106
Spartanburg, SC 29307
Phone (864) 579-2899

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1760460182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E MAIN ST",
            "address_2": "SUITE A-106",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071434",
            "telephone_number": "864-579-2899",
            "fax_number": "864-579-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E MAIN ST",
            "address_2": "SUITE A-106",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071434",
            "telephone_number": "864-579-2899",
            "fax_number": "864-579-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "864-579-2899"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "042 50518 2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2662",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.