Provider Demographics
NPI:1376726539
Name:DIRECT MEDS PLUS, INC.
Entity Type:Organization
Organization Name:DIRECT MEDS PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:WILSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-216-3015
Mailing Address - Street 1:1877 BEAUMONT DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1435
Mailing Address - Country:US
Mailing Address - Phone:225-216-3015
Mailing Address - Fax:225-926-8599
Practice Address - Street 1:1877 BEAUMONT DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1435
Practice Address - Country:US
Practice Address - Phone:225-216-3015
Practice Address - Fax:225-926-8599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1189750001Medicare NSC