Choice Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0065657 Issued in TX

Legal business name

CHOICE MEDICAL SUPPLY INC

Practice address

101 S Park Dr Ste D
Brownwood, TX 76801-5959

Phone

(325) 641-9411

Fax

(325) 641-9512

NPI assigned

Sep 7, 2005

Organization subpart

Yes

Parent organization

CHOICE MEDICAL SUPPLY INCAs reported in NPPES

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

Authorized official

Name

J'Lynn Adams

Title

Office Manager

Phone

(325) 677-2250

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Choice Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
  • NPI 1114925856

  6800916842

  Same PAC ID
• Choice Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Marble Falls, TX
  • NPI 1588770820

  6800916842

  Same PAC ID

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

Tax ID family

Choice Medical Supply Inc4 organizations share this tax ID, including this one

Part of

Choice Medical Supply Inc

Other organizations with this tax ID 3

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

• Choice Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
  • NPI 1114925856
  NPD tax ID
• Choice Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Marble Falls, TX
  • NPI 1588770820
  NPD tax ID
• Choice Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
  • NPI 1881840437
  NPD tax ID

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831183706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WINDMILL CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065234",
            "telephone_number": "325-677-2250",
            "fax_number": "325-677-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PARK DR STE D",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015959",
            "telephone_number": "325-641-9411",
            "fax_number": "325-641-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICE MEDICAL SUPPLY  INC",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "J'LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "325-677-2250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065657",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "14059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176575202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "531203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176575201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Texas Womens Clinic, P.a.
• Sarah R. Chandler, M.D.
• Elmer Lee Chapman, PA
• Children'S Hope Residential Services, Inc.
• Delicia Ann Chisholm, ATP
• City of Brownwood
• City of Brownwood
• Kevin Dwayne Clardy, D.D.S.
• Clayton Cleveland, PHARMD
• Terrell Morelock Cleveland, PHARMD

• Durable Medical Equipment & Medical Supplies in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• 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.
• 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.