Organization Active NPI

Sanders Vital Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Greenville, MS
National Provider Identifier
1932133535
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01568011 Issued in MS
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

Updated by the provider on Jan 31, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00040008MedicaidMS

Other names 1

  • Sanders Vital Care Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.