Magnolia Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAGNOLIA MEDICAL SUPPLY LLC

Practice address

1410 14TH St Ste B
Meridian, MS 39301-4202

Phone

(888) 407-2823

Fax

(888) 435-9197

NPI assigned

Dec 17, 2021

Organization subpart

No

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

Authorized official

Name

David Loyd

Title

Owner

Phone

(888) 407-2823

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1902565906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 14TH ST STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014202",
            "telephone_number": "888-407-2823",
            "fax_number": "888-435-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 14TH ST STE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014202",
            "telephone_number": "888-407-2823",
            "fax_number": "888-435-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "LOYD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-407-2823"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee J Lyles, NP
• M W Healthcare LLC
• Magnolia Clinic
• Magnolia Foot Clinic LLC
• Magnolia Heart Counseling LLC
• David A. Makey, M.D.
• David S. Malloy, M.D.
• Casey B Mancini, CRNA
• Edward W. Manning Jr., RPH.
• Susie Mao, DO

• Durable Medical Equipment & Medical Supplies in Meridian, MS
• Providers in Meridian, 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 Jan 11, 2022; 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.