Direct Medical Supply, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

DIRECT MEDICAL SUPPLY, LLC

Practice address

105 Spann Dr
Suite D
Brandon, MS 39047-8752

Phone

(601) 919-1800

Fax

(601) 919-0974

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

David A McCay

Title

Owner / Partner

Phone

(601) 919-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1831276237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPANN DR",
            "address_2": "SUITE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478752",
            "telephone_number": "601-919-1800",
            "fax_number": "601-919-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SPANN DR",
            "address_2": "SUITE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478752",
            "telephone_number": "601-919-1800",
            "fax_number": "601-919-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "MCCAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PARTNER",
        "authorized_official_telephone_number": "601-919-1800"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00576530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Brandon, MS
• Providers in Brandon, MS by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.