Active NPI
Sanders Vital Care Inc
- Durable Medical Equipment & Medical Supplies
- Greenville, MS
National Provider Identifier
1932133535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01568011
- Legal business name
- SANDERS VITAL CARE INC
- Practice address
- 1427 S Main St
Greenville, MS 38701-7000 - Phone
- (662) 378-2060
- Fax
- (662) 332-9966
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wynn Sanders
- Title
- President
- Phone
- (662) 378-2060
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01568011 | MS | Primary |
| Customized Equipment (DME) | 332BC3200X | 01568011 | MS | |
| Nursing Facility Supplies (DME) | 332BN1400X | 01568011 | MS | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 01568011 | MS | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 01568011 | MS | |
| Pharmacy | 333600000X | 01568011 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 01568011 | MS | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 01568011 | MS | |
| Institutional Pharmacy | 3336I0012X | 01568011 | MS | |
| Long Term Care Pharmacy | 3336L0003X | 01568011 | MS | |
| Mail Order Pharmacy | 3336M0002X | 01568011 | MS | |
| Specialty Pharmacy | 3336S0011X | 01568011 | MS |
Addresses
Primary practice location
1427 S Main St
Greenville, MS 38701-7000
Mailing address
1427 S Main St
Greenville, MS 38701-7000
Phone (662) 378-2060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040008 | Medicaid | MS |
Other names 1
- Sanders Vital Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1932133535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 S MAIN ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387017000",
"telephone_number": "662-378-2060",
"fax_number": "662-332-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 S MAIN ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387017000",
"telephone_number": "662-378-2060",
"fax_number": "662-332-9966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDERS VITAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "WYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-378-2060"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "01568011",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "01568011",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00040008",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanders Vital Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.