PRESTIGE MEDICAL SUPPLY LLC
NPI 1336786896
Durable Medical Equipment & Medical Supplies in Edmond, OK

Q: What is Prestige Medical Supply LLC's NPI number?

The NPI number for Prestige Medical Supply LLC is 1336786896. It was assigned to this organization in the NPPES registry on December 4, 2019.

Q: What is Prestige Medical Supply LLC's specialty?

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

Active since December 04, 2019

1109 N BRYANT AVE, STE 110, EDMOND, OK 73034(405) 458-1777(405) 458-1777 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prestige Medical Supply Llc NPPES

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

PRESTIGE MEDICAL SUPPLY LLC (NPI 1336786896) is a healthcare organization registered as a durable medical equipment & medical supplies in Edmond, Oklahoma and active in the NPI registry since December 2019. The organization lists Alan Jackson, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1336786896

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePRESTIGE MEDICAL SUPPLY LLC

Location Address1109 N BRYANT AVE, STE 110Edmond, OK 73034-3255

Mailing Address1109 N Bryant Ave, Ste 110Edmond, OK 73034-3255 · (405) 458-1777 · Fax (405) 458-1777

Phone(405) 458-1777

Fax(405) 458-1777

Organization SubpartNo

Authorized OfficialAlan JacksonOwner/ceo · (405) 724-6630

Enumeration DateDecember 4, 2019

✔ NPI 1336786896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X

1109 N BRYANT AVE, STE 110, Edmond, OK 73034

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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 Prestige Medical Supply LLC's NPI number?

The NPI number for Prestige Medical Supply LLC is 1336786896. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Prestige Medical Supply LLC located?

Prestige Medical Supply LLC is located at 1109 N Bryant Ave, Ste 110, Edmond, OK 73034. The listed phone number is (405) 458-1777.

What is Prestige Medical Supply 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 Prestige Medical Supply LLC was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.