Premiere Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00839 Issued in AR

Legal business name

PREMIERE MEDICAL SUPPLY, INC.

Practice address

3614 Market PL
Suite 5
Bryant, AR 72022-9166

Phone

(501) 847-7800

Fax

(501) 847-7804

NPI assigned

May 10, 2007

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Scott Dinger, CRT

Title

President

Phone

(501) 847-7800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1952515587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 MARKET PL",
            "address_2": "SUITE 5",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229166",
            "telephone_number": "501-847-7800",
            "fax_number": "501-847-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 MARKET PL",
            "address_2": "SUITE 5",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229166",
            "telephone_number": "501-847-7800",
            "fax_number": "501-847-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-847-7800",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.