MEDICARE SUPPLY STORE
NPI 1619111796
Durable Medical Equipment & Medical Supplies in Indianapolis, IN

Q: What is Medicare Supply Store's NPI number?

The NPI number for Medicare Supply Store is 1619111796. It was assigned to this organization in the NPPES registry on April 21, 2009.

Q: What is Medicare Supply Store's specialty?

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

Active since April 21, 2009

3510 S KEYSTONE AVE, INDIANAPOLIS, IN 46227(317) 215-5883(877) 783-2054 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Medicare Supply Store NPPES

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

MEDICARE SUPPLY STORE (NPI 1619111796) is a healthcare organization registered as a durable medical equipment & medical supplies in Indianapolis, Indiana and active in the NPI registry since April 2009. The organization lists Ryan Michael Thomas, Vice President, as its authorized official.

NPPES Registry Identity

NPI1619111796

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMEDICARE SUPPLY STORE

Location Address3510 S KEYSTONE AVEIndianapolis, IN 46227-3610

Mailing Address3510 S Keystone AveIndianapolis, IN 46227-3610 · (317) 215-5883 · Fax (877) 783-2054

Phone(317) 215-5883

Fax(877) 783-2054

Organization SubpartNo

Authorized OfficialRyan Michael ThomasVice President · (317) 557-9090

Enumeration DateApril 21, 2009

✔ NPI 1619111796 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.

3510 S KEYSTONE AVE, Indianapolis, IN 46227

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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.

A1 COMFORT RIDE LLC

Non-emergency Medical Transport (VAN)

3510 S KEYSTONE AVE
INDIANAPOLIS, IN 46227

Marion County (317) 760-8290

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 Medicare Supply Store's NPI number?

The NPI number for Medicare Supply Store is 1619111796. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Medicare Supply Store located?

Medicare Supply Store is located at 3510 S Keystone Ave, Indianapolis, IN 46227. The listed phone number is (317) 215-5883.

What is Medicare Supply Store'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 Medicare Supply Store was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.