Medical Supply Depot

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLY DEPOT

Practice address

2552 Poplar Ave
Suite 502
Memphis, TN 38112-3852

Phone

(901) 921-5030

Fax

(901) 324-3350

NPI assigned

Jul 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Brance Shae Draine

Title

Owner

Phone

(901) 921-5030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1801026836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 502",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-921-5030",
            "fax_number": "901-324-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "SUITE 502",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-921-5030",
            "fax_number": "901-324-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "DRAINE",
        "authorized_official_first_name": "BRANCE",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-921-5030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Memphis, TN
• Providers in Memphis, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.