Medicare Supply Store
NPI 1619111796 · Durable Medical Equipment & Medical Supplies · Indianapolis, IN
Medicare Supply Store is a Durable Medical Equipment & Medical Supplies organization in Indianapolis, IN (NPI 1619111796).
Provider details
- NPI number
- 1619111796
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Ryan Thomas, Vice President(317) 557-9090
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-04-21
- Last updated
- 2009-04-21
Frequently asked questions
- What is Medicare Supply Store's NPI number?
- Medicare Supply Store's National Provider Identifier (NPI) is 1619111796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicare Supply Store?
- Medicare Supply Store is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Medicare Supply Store located?
- Medicare Supply Store's practice location on file with NPPES is 3510 S Keystone Ave, Indianapolis, IN 46227-3610.
- What is Medicare Supply Store's phone number?
- The practice phone number listed in the NPPES registry for Medicare Supply Store is (317) 215-5883.
- Who is the authorized official for Medicare Supply Store?
- The authorized official listed on Medicare Supply Store's NPPES record is Ryan Thomas, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicare Supply Store's NPI active?
- Yes — Medicare Supply Store's NPI (1619111796) is active in the NPPES registry as of the last update on 2009-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.