1. Home
  2. Directory
  3. Oklahoma
  4. Tahlequah
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PRIME MEDICAL OUTLET LLC
NPI 1043029887
Durable Medical Equipment & Medical Supplies in Tahlequah, OK

Active since January 06, 2025
1005 S MUSKOGEE AVE, TAHLEQUAH, OK 74464(240) 708-2081 Get Directions Write a Review

NPPES record last updated: March 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2026, Apr 8, 2025, Jan 6, 2025 (3 updates tracked since 2025).

About Prime Medical Outlet Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME MEDICAL OUTLET LLC (NPI 1043029887) is a healthcare organization registered as a durable medical equipment & medical supplies in Tahlequah, Oklahoma and active in the NPI registry since January 2025. The organization lists Zaveen Khan Tatari, Owner, as its authorized official.

NPPES Registry Identity

NPI1043029887
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRIME MEDICAL OUTLET LLC
Location Address1005 S MUSKOGEE AVETahlequah, OK 74464-4733
Mailing Address1005 S Muskogee AveTahlequah, OK 74464-4733 · (240) 708-2081
Phone(240) 708-2081
Organization SubpartNo
Authorized OfficialZaveen Khan TatariOwner · (240) 708-2081
Enumeration DateJanuary 6, 2025
Last NPPES UpdateMarch 7, 20263 updates tracked since enumeration
NPPES CertifiedMarch 7, 2026
✔ NPI 1043029887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1005 S MUSKOGEE AVE, Tahlequah, OK 74464
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Medical Outlet LLC's NPI number?

The NPI number for Prime Medical Outlet LLC is 1043029887. It was assigned to this organization in the NPPES registry on January 6, 2025.

Where is Prime Medical Outlet LLC located?

Prime Medical Outlet LLC is located at 1005 S Muskogee Ave, Tahlequah, OK 74464. The listed phone number is (240) 708-2081.

What is Prime Medical Outlet LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Prime Medical Outlet LLC was last updated on March 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.