Med-Life Distributions, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED-LIFE DISTRIBUTIONS, LLC

Practice address

2885 McCullough Blvd Ste B
Belden, MS 38826-9022

Phone

(662) 255-2717

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Darnell Jackson

Title

Owner

Phone

(662) 305-1820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1972338291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 MCCULLOUGH BLVD STE B",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 MCCULLOUGH BLVD STE B",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269022",
            "telephone_number": "662-255-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LIFE DISTRIBUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-305-1820"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PH Counseling LLC

• Durable Medical Equipment & Medical Supplies in Belden, MS
• Providers in Belden, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.