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EXECUTIVE MEDICAL SUPPLIES LLC
NPI 1124312400
Durable Medical Equipment & Medical Supplies in Forest, MS

Active since June 04, 2011
135 E THIRD ST, FOREST, MS 39074(601) 469-9040 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Executive Medical Supplies Llc NPPES

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

EXECUTIVE MEDICAL SUPPLIES LLC (NPI 1124312400) is a healthcare organization registered as a durable medical equipment & medical supplies in Forest, Mississippi and active in the NPI registry since June 2011. The organization lists Milo D Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1124312400
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEXECUTIVE MEDICAL SUPPLIES LLC
Location Address135 E THIRD STForest, MS 39074-4101
Mailing Address135 E Third StForest, MS 39074-4101 · (601) 469-9040
Phone(601) 469-9040
Organization SubpartNo
Authorized OfficialMilo D CollinsOwner · (769) 798-9799
Enumeration DateJune 4, 2011
Last NPPES UpdateAugust 23, 2013
✔ NPI 1124312400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MS · 981193
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.
135 E THIRD ST, Forest, MS 39074
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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 Executive Medical Supplies LLC's NPI number?

The NPI number for Executive Medical Supplies LLC is 1124312400. It was assigned to this organization in the NPPES registry on June 4, 2011.

Where is Executive Medical Supplies LLC located?

Executive Medical Supplies LLC is located at 135 E Third St, Forest, MS 39074. The listed phone number is (601) 469-9040.

What is Executive Medical Supplies 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 Executive Medical Supplies LLC was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.