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PKC MEDICAL SUPPLIES
NPI 1366221293
Durable Medical Equipment & Medical Supplies in Russellville, AR

Active since September 28, 2023
915 W B ST, RUSSELLVILLE, AR 72801(479) 968-1777(479) 967-1111 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Pkc Medical Supplies NPPES

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

PKC MEDICAL SUPPLIES (NPI 1366221293) is a healthcare organization registered as a durable medical equipment & medical supplies in Russellville, Arkansas and active in the NPI registry since September 2023. The organization lists Lana Carruth, Owner, as its authorized official.

NPPES Registry Identity

NPI1366221293
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePKC MEDICAL SUPPLIES
Location Address915 W B STRussellville, AR 72801-3501
Mailing Address915 W B StRussellville, AR 72801-3501 · (479) 968-1777 · Fax (479) 967-1111
Phone(479) 968-1777
Fax(479) 967-1111
Organization SubpartNo
Authorized OfficialLana CarruthOwner · (479) 968-1777
Enumeration DateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1366221293 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.
915 W B ST, Russellville, AR 72801
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLANA K CARRUTH RN
Registered Nurse (General Practice)
915 W B ST
RUSSELLVILLE, AR 72801
Pope County (479) 968-1777

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 Pkc Medical Supplies's NPI number?

The NPI number for Pkc Medical Supplies is 1366221293. It was assigned to this organization in the NPPES registry on September 28, 2023.

Where is Pkc Medical Supplies located?

Pkc Medical Supplies is located at 915 W B St, Russellville, AR 72801. The listed phone number is (479) 968-1777.

What is Pkc Medical Supplies'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 Pkc Medical Supplies was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.