FIFTY50 PHARMACY
NPI 1376797704
Durable Medical Equipment & Medical Supplies in Coppell, TX

Active since November 12, 2008
1411 E SANDY LAKE RD STE 120, COPPELL, TX 75019(972) 243-2727(972) 243-3111 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 8, 2023, Mar 14, 2017, Nov 12, 2015 (3 updates tracked since 2015).

About Fifty50 Pharmacy NPPES

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

FIFTY50 PHARMACY (NPI 1376797704) is a healthcare organization registered as a durable medical equipment & medical supplies in Coppell, Texas and active in the NPI registry since November 2008. The organization lists Maxine Wilson, Gm, as its authorized official.

NPPES Registry Identity

NPI1376797704
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFIFTY 50 MEDICAL LLC
Location Address1411 E SANDY LAKE RD STE 120Coppell, TX 75019-7947
Mailing Address1411 E Sandy Lake Rd Ste 120Coppell, TX 75019-7947 · (972) 243-2727 · Fax (972) 243-3111
Fax(972) 243-3111
Organization SubpartNo
Authorized OfficialMaxine WilsonGm · (972) 243-2727
Enumeration DateNovember 12, 2008
Last NPPES UpdateMay 8, 20233 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1376797704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in TX · 26217
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1411 E SANDY LAKE RD STE 120, Coppell, TX 75019

Other Names 1

Doing Business AsFifty50 Pharmacy

Other Identifiers 5

Medicaid100792330AOK
Medicaid201737803TX
Medicaid201737801TX
Other2121078Pk
Medicaid143875716AR

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Fifty50 Pharmacy carries, from the Medicare DMEPOS supplier directory.

Fifty50 Pharmacy

DMEPOS supplier · Coppell, TXOperated by Fifty 50 Medical LLC

Accepts Medicare assignment

Fifty50 Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20552897
Medicare Participant SinceFebruary 4, 2009
Supplier Location1411 E Sandy Lake Rd Ste 120Coppell, TX 75019
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Insulin Infusion Pumps and/or Supplies
Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Urological Supplies
Catheters, Urinary collection devices
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Fifty 50 Medical LLC's NPI number?

The NPI number for Fifty 50 Medical LLC is 1376797704. It was assigned to this organization in the NPPES registry on November 12, 2008. The provider is doing business as Fifty50 Pharmacy.

Where is Fifty 50 Medical LLC located?

Fifty 50 Medical LLC is located at 1411 E Sandy Lake Rd Ste 120, Coppell, TX 75019. The listed phone number is (972) 243-2727.

What is Fifty 50 Medical LLC's specialty?

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

Does Fifty 50 Medical LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fifty50 Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Fifty 50 Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 21 other insurers list Fifty 50 Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fifty 50 Medical LLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.