Vandygriff Shoes

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VANDYGRIFF SHOES

Practice address

179 Woodell St
Clinton, AR 72031-6929

Phone

(501) 745-4060

Fax

(501) 745-4012

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Irwin R Vanldygriff

Title

Owner

Phone

(501) 745-4060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irwin R Vandygriff I

  • Durable Medical Equipment & Medical Supplies
  • Clinton, AR
  • NPI 1669529566
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780868208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 WOODELL ST",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316929",
            "telephone_number": "501-745-4060",
            "fax_number": "501-745-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 WOODELL ST",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316929",
            "telephone_number": "501-745-4060",
            "fax_number": "501-745-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDYGRIFF SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VANLDYGRIFF",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-745-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Tiner, APRN
• Dana Treat, APN
• David C Tucker, LPC
• Saxon Tumbleson
• Van Buren County Aging Program
• Irwin R Vandygriff I
• Jentry Wade
• Wal-Mart Stores, Inc.
• Henry C. Wallace, M.D.
• Wenderlain Walley, DIETARY SUPERVISOR

• Durable Medical Equipment & Medical Supplies in Clinton, AR
• Providers in Clinton, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.