Organization Active NPI

Victory Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tishomingo, OK
National Provider Identifier
1982662862
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VICTORY MEDICAL EQUIPMENT, LLC
Practice address
710 E Main St
Tishomingo, OK 73460-2350
Phone
(580) 371-0340
Fax
(580) 371-0342
NPI assigned
May 2, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Mrs. Joan Weems, R.N.
Title
Owner
Phone
(580) 371-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

710 E Main St
Tishomingo, OK 73460-2350

Mailing address

710 E Main St
Tishomingo, OK 73460-2350
Phone (580) 371-0340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1982662862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-0340",
            "fax_number": "580-371-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-0340",
            "fax_number": "580-371-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-371-0340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.