1St Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

1ST MEDICAL SUPPLY, LLC

Practice address

8952 Market St
Suite 7a
Dover, AR 72837-9110

Phone

(501) 860-3500

Fax

(800) 661-8025

NPI assigned

Apr 18, 2011

Last updated

Apr 21, 2011By 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

Sandra Northern

Title

President

Phone

(501) 860-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Kaye Wyatt, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dover, AR
  • NPI 1881826949
  NPD

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1861782385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10215",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728120215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 MARKET ST",
            "address_2": "SUITE 7A",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110",
            "telephone_number": "501-860-3500",
            "fax_number": "800-661-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "NORTHERN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-860-3500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abc Children's Academy (ABC Children's Academy-Dover Infant Center)
• Abc Children's Academy & Developmental Center Dover
• Arkansas Occupational Therapy Services, Inc.
• Arlis Dale Barton, MD
• Toni Chowning

• Durable Medical Equipment & Medical Supplies in Dover, AR
• Providers in Dover, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.