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MIRACLE MEDICAL SUPPLY, LLC
NPI 1457772014
Durable Medical Equipment & Medical Supplies in Laurel, MS

Active since December 30, 2013
111 ELLISVILLE BLVD, LAUREL, MS 39440(601) 428-4668(601) 428-4668 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miracle Medical Supply, Llc NPPES

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

MIRACLE MEDICAL SUPPLY, LLC (NPI 1457772014) is a healthcare organization registered as a durable medical equipment & medical supplies in Laurel, Mississippi and active in the NPI registry since December 2013. The organization lists Charles Edward Pugh, Owner, as its authorized official.

NPPES Registry Identity

NPI1457772014
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMIRACLE MEDICAL SUPPLY, LLC
Location Address111 ELLISVILLE BLVDLaurel, MS 39440-4519
Mailing Address111 Ellisville BlvdLaurel, MS 39440-4519 · (601) 428-4668 · Fax (601) 428-4668
Phone(601) 428-4668
Fax(601) 428-4668
Organization SubpartNo
Authorized OfficialCharles Edward PughOwner · (601) 428-4668
Enumeration DateDecember 30, 2013
Last NPPES UpdateDecember 10, 2014
✔ NPI 1457772014 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.
111 ELLISVILLE BLVD, Laurel, MS 39440
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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 Miracle Medical Supply, LLC's NPI number?

The NPI number for Miracle Medical Supply, LLC is 1457772014. It was assigned to this organization in the NPPES registry on December 30, 2013.

Where is Miracle Medical Supply, LLC located?

Miracle Medical Supply, LLC is located at 111 Ellisville Blvd, Laurel, MS 39440. The listed phone number is (601) 428-4668.

What is Miracle 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 Miracle Medical Supply, LLC was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.