Target Medical Inc, Ms

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TARGET MEDICAL INC, MS

Practice address

7065 Airways Blvd Ste 104
Southaven, MS 38671-5873

Phone

(662) 349-1394

Fax

(662) 349-1394

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Thomas R Brockway Sr.

Title

President

Phone

(901) 323-1304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1902185788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD STE 104",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-1394",
            "fax_number": "662-349-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD STE 104",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-1394",
            "fax_number": "662-349-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET MEDICAL INC, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BROCKWAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-323-1304",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yim Lei Tackett, NP
• Amir Adel Tadros, DDS
• Saif M Tahsin, MD
• Talk of the Town Therapy, LLC
• Shannon Taylor Tapp
• Zachary Kyle Tate, DPT
• Caroline Taylor, P-LPC
• Erica Yalanta Taylor, RRT
• Holly Marie Taylor, PHARMD
• Janet Denise Taylor, PTA

• Durable Medical Equipment & Medical Supplies in Southaven, MS
• Providers in Southaven, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.