Prestige Medical Supply LLC
NPI 1336786896 · Durable Medical Equipment & Medical Supplies · Edmond, OK
Prestige Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Edmond, OK (NPI 1336786896).
Provider details
- NPI number
- 1336786896
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Alan Jackson, Owner/Ceo(405) 724-6630
Specialties & taxonomies
Suppliers
- Nursing Facility Supplies (DME)332BN1400X
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-04
- Last updated
- 2019-12-04
Frequently asked questions
- What is Prestige Medical Supply LLC's NPI number?
- Prestige Medical Supply LLC's National Provider Identifier (NPI) is 1336786896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Medical Supply LLC?
- Prestige Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Prestige Medical Supply LLC located?
- Prestige Medical Supply LLC's practice location on file with NPPES is 1109 N Bryant Ave, Ste 110, Edmond, OK 73034-3255.
- What is Prestige Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Medical Supply LLC is (405) 458-1777.
- Who is the authorized official for Prestige Medical Supply LLC?
- The authorized official listed on Prestige Medical Supply LLC's NPPES record is Alan Jackson, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Medical Supply LLC's NPI active?
- Yes — Prestige Medical Supply LLC's NPI (1336786896) is active in the NPPES registry as of the last update on 2019-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.