Organization Active NPI

Reedley Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Reedley, CA
National Provider Identifier
1932330537
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REEDLEY MEDICAL SUPPLY, INC.
Practice address
1205 11TH St
Reedley, CA 93654-2924
Phone
(559) 638-8004
Fax
(559) 637-1979
NPI assigned
Jul 30, 2009
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mrs. Rhoda Enns
Title
President / Ceo
Phone
(559) 638-8004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

1205 11TH St
Reedley, CA 93654-2924

Mailing address

1205 11TH St
Reedley, CA 93654-2924
Phone (559) 638-8004

Other identifiers 1

IdentifierTypeStateIssuer
DME00898FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1932330537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542924",
            "telephone_number": "559-638-8004",
            "fax_number": "559-637-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542924",
            "telephone_number": "559-638-8004",
            "fax_number": "559-637-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "ENNS",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "559-638-8004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00898F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.