Pkc Medical Supplies
NPI 1366221293 · Durable Medical Equipment & Medical Supplies · Russellville, AR
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pkc Medical Supplies is a Durable Medical Equipment & Medical Supplies organization in Russellville, AR (NPI 1366221293).
Provider details
- NPI number
- 1366221293
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Lana Carruth, Owner(479) 968-1777
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Frequently asked questions
- What is Pkc Medical Supplies's NPI number?
- Pkc Medical Supplies's National Provider Identifier (NPI) is 1366221293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pkc Medical Supplies?
- Pkc Medical Supplies is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Pkc Medical Supplies located?
- Pkc Medical Supplies's practice location on file with NPPES is 915 W B St, Russellville, AR 72801-3501.
- What is Pkc Medical Supplies's phone number?
- The practice phone number listed in the NPPES registry for Pkc Medical Supplies is (479) 968-1777.
- Does Pkc Medical Supplies accept Medicare?
- Pkc Medical Supplies is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pkc Medical Supplies?
- The authorized official listed on Pkc Medical Supplies's NPPES record is Lana Carruth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pkc Medical Supplies's NPI active?
- Yes — Pkc Medical Supplies's NPI (1366221293) is active in the NPPES registry as of the last update on 2023-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.