Deberrymedicalequipmentsupplierinc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in TN

Legal business name

DEBERRYMEDICALEQUIPMENTSUPPLIERINC.

Practice address

3865 Viscount Ave
Suite 5
Memphis, TN 38118-6051

Phone

(901) 369-0110

Fax

(901) 369-0082

NPI assigned

Dec 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Toren Louise Deberry

Title

Owner

Phone

(901) 369-0110

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841275989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 VISCOUNT AVE",
            "address_2": "SUITE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186051",
            "telephone_number": "901-369-0110",
            "fax_number": "901-369-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 VISCOUNT AVE",
            "address_2": "SUITE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186051",
            "telephone_number": "901-369-0110",
            "fax_number": "901-369-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBERRYMEDICALEQUIPMENTSUPPLIERINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "TOREN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-369-0110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454219",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454986",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Deason, PH.D.
• Kathleen Hester Deaton, APRN
• Paul R. Deaton, MD
• Crystal Dinesse Deberry, LCSW
• Robert Z Deberry, MD, MS
• Ian Robert Decareaux, PHARMD
• Donald Patsy Decarlo Jr., MD
• Sorawit Timothy Decha-Umphai, M.D.
• Waraporn Decha-Umphai, BSC (PHARMACY), MSC
• Robert Decolli III, CRNP

• 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 Aug 22, 2020; 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.