OrganizationActive
Mallard Medical Supply LLC
NPI 1770914996 · Customized Equipment (DME) · Warren, AR
Mallard Medical Supply LLC is a Customized Equipment (DME) organization in Warren, AR (NPI 1770914996).
Provider details
- NPI number
- 1770914996
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jeffrey Wardlaw, Manager(870) 226-9501
- License
- 14306 (AR)
Specialties & taxonomies
Suppliers
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
801 E Church St
Warren, AR 71671-3454
Phone: (870) 226-9501
Fax: (870) 226-9500
Street-level locationGet directions
Mailing address
801 E Church St
Warren, AR 71671-3454
Registry dates
- Enumerated
- 2013-12-13
- Last updated
- 2013-12-13
Frequently asked questions
- What is Mallard Medical Supply LLC's NPI number?
- Mallard Medical Supply LLC's National Provider Identifier (NPI) is 1770914996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mallard Medical Supply LLC?
- Mallard Medical Supply LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Mallard Medical Supply LLC located?
- Mallard Medical Supply LLC's practice location on file with NPPES is 801 E Church St, Warren, AR 71671-3454.
- What is Mallard Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Mallard Medical Supply LLC is (870) 226-9501.
- Who is the authorized official for Mallard Medical Supply LLC?
- The authorized official listed on Mallard Medical Supply LLC's NPPES record is Jeffrey Wardlaw, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mallard Medical Supply LLC's NPI active?
- Yes — Mallard Medical Supply LLC's NPI (1770914996) is active in the NPPES registry as of the last update on 2013-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.