Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prestige Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1336786896

Prestige Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Edmond, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1109 N Bryant Ave Ste 110
Edmond, OK 73034-3255
Phone: (405) 458-1777
Fax: (405) 458-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Nursing Facility Supplies (DME) Taxonomy 332BN1400X
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X

Record details

NPI number1336786896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Jackson — Owner/Ceo · (405) 724-6630
NPI enumeratedDecember 4, 2019
Last updated in NPPESDecember 4, 2019
Mailing address1109 N Bryant Ave, Ste 110, Edmond, OK 73034-3255

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