Meditrust Medical Equipment & Supply,LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

929 Issued in TN

Legal business name

MEDITRUST MEDICAL EQUIPMENT & SUPPLY,LLC

Practice address

716 E Main St
Adamsville, TN 38310-2458

Phone

(731) 632-2166

Fax

(731) 632-2167

NPI assigned

Jul 23, 2007

Last updated

Nov 24, 2007By 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

Mr. Rick Allen Murphy

Title

Owner

Phone

(731) 632-2166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195862400000",
    "number": "1851591408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E MAIN ST",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383102458",
            "telephone_number": "731-632-2166",
            "fax_number": "731-632-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MAIN ST",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383102458",
            "telephone_number": "731-632-2166",
            "fax_number": "731-632-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITRUST MEDICAL EQUIPMENT & SUPPLY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-11-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-632-2166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455217",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Timothy Johnson, RPH.
• Raven Kelley
• Elizabeth Ann Kelly, ASSISTANT
• Monica Kimmons
• Stephanie Lauren Long
• Angela M Nixon, APN
• Samantha Dawn Oaks, COTA/L
• Paul B Payne Special Care Dental of Tennessee PL (Special Care Dental of Tennessee LLC)
• Catherine J Prather, PHARM. D.
• Dubbaka Devender Reddy, MD

• Oxygen Equipment & Supplies (DME) in Adamsville, TN
• Providers in Adamsville, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.