Izzy Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IZZY MEDICAL SUPPLY LLC

Practice address

1706 Antioch Pike # a
Antioch, TN 37013-2717

Phone

(615) 495-4660

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ehis Murphy

Title

President

Phone

(615) 645-5798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1851999346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 ANTIOCH PIKE STE A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132717",
            "telephone_number": "615-645-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ANTIOCH PIKE # A",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132717",
            "telephone_number": "615-495-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZZY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "EHIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-645-5798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Antioch, TN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.