MORNING STAR MEDICAL (NPI# 1093325854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093325854 |
| Entity Type | Organization |
| Organization Name | MORNING STAR MEDICAL |
| Practice Address |
456 W 61st St Shreveport LA 71106-2511 |
| Practice Telephone | 3183476402 |
| Mailing Telephone | 3183476402 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | CHARLES SLACK (OWNER) |
| Authorized Official Telephone | 3183476402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MORNING STAR MEDICAL | 1832 Ruby View Dr, Elko, NV 89801-2631 |
| New York State Corporations | MORNING STAR MEDICAL LLC | 15 Sunny Ridge Road, New Hempstead, Ny 10977 |
| Street Address |
456 W 61ST ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253340 | Total Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1111, Shreveport, LA 71101-5303 | 2019-09-09 |
| 1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
| 1750730057 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10460 Norris Ferry Rd, Shreveport, LA 71106 | 2016-06-07 |
| 1396117735 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4701 Northport Blvd, Shreveport, LA 71107 | 2015-10-26 |
| 1437521879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127 | 2015-10-26 |
| 1871905992 | Tap-alert | Durable Medical Equipment & Medical Supplies | 3305 W 70th St Unit D, Shreveport, LA 71108-4609 | 2014-05-23 |
| 1558709279 | Nla Medical LLC | Durable Medical Equipment & Medical Supplies | 8125 Captain Mary Miller Dr, Shreveport, LA 71115-2982 | 2013-06-05 |
| 1225381981 | Med Health Depot, LLC | Durable Medical Equipment & Medical Supplies | 6658 Youree Dr, Suite 180 #298, Shreveport, LA 71105-4648 | 2012-10-18 |
| 1902176142 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9510 Ellerbe Rd, Shreveport, LA 71106-7406 | 2012-01-05 |
| 1356623557 | Allmed Mobility, LLC | Durable Medical Equipment & Medical Supplies | 303 N Market St, Suite B, Shreveport, LA 71107-6800 | 2011-09-13 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on MORNING STAR MEDICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.