Organization Active NPI

Prism Medical Products, L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1902569981
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRISM MEDICAL PRODUCTS, L.L.C.
Practice address
6345 S Pecos Rd Ste 203-205
Las Vegas, NV 89120-6222
Phone
(888) 244-6421
Fax
(800) 975-6321
NPI assigned
Oct 18, 2021
Organization subpart
Yes
Parent organization
PRISM MEDICAL PRODUCTS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
James St. Cyr
Title
Vice President & General Manager
Phone
(800) 215-6405

Specialties & licenses 1

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

Addresses

Primary practice location

6345 S Pecos Rd Ste 203-205
Las Vegas, NV 89120-6222

Mailing address

PO Box 476
Elkin, NC 28621-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728003612 NV DME Supplier - Medical Supply Company 5799988325 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prism Medical Products LLC6345 S Pecos Rd, Las Vegas, NV 89120-6222(888) 244-6421 Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory
Tax ID family
Prism Medical Products LLC3 organizations share this tax ID, including this one
Part of
Prism Medical Products LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6345 S Pecos Rd
Ste 203205
Las Vegas, NV 89120
Phone (888) 244-6421

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1902569981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286210476",
            "fax_number": "888-589-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S PECOS RD STE 203-205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891206222",
            "telephone_number": "888-244-6421",
            "fax_number": "800-975-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM MEDICAL PRODUCTS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISM MEDICAL PRODUCTS, L.L.C.",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "ST. CYR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT & GENERAL MANAGER",
        "authorized_official_telephone_number": "800-215-6405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.