F.Y.I. Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06013840 Issued in AL

Legal business name

F.Y.I. MEDICAL SUPPLIES, INC.

Practice address

490 Wildwood North Cir
Suite 110
Homewood, AL 35209-0131

Phone

(205) 290-1505

Fax

(205) 290-1518

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angenetta W. Smith

Title

President/Owner

Phone

(205) 290-1505

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1942384516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WILDWOOD NORTH CIR",
            "address_2": "SUITE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352090131",
            "telephone_number": "205-290-1505",
            "fax_number": "205-290-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 WILDWOOD NORTH CIR",
            "address_2": "SUITE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352090131",
            "telephone_number": "205-290-1505",
            "fax_number": "205-290-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.Y.I. MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGENETTA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-290-1505",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "06013840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942531",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DME PROVIDER #",
            "identifier": "51501029",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Homewood, AL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.