Organization Active NPI

Drew Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
National Provider Identifier
1861810285
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DREW MEDICAL LLC
Practice address
5155 Galaxie Dr Ste C-4
Jackson, MS 39206-4309
Phone
(504) 799-8132
Fax
(504) 520-8941
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Kenneth Dale
Title
Sales Manager
Phone
(504) 799-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5155 Galaxie Dr Ste C-4
Jackson, MS 39206-4309

Mailing address

5155 Galaxie Dr Ste C-4
Jackson, MS 39206-4309
Phone (504) 799-8132

National Provider Directory

National Provider Directory

Locations

5155 Galaxie Dr
Ste C4
Jackson, MS 39206
Phone (504) 799-8132

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1861810285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DR STE C-4",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064309",
            "telephone_number": "504-799-8132",
            "fax_number": "504-520-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 GALAXIE DR STE C-4",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064309",
            "telephone_number": "504-799-8132",
            "fax_number": "504-520-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "SALES MANAGER",
        "authorized_official_telephone_number": "504-799-8132"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.