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

State Medical Supply Provider, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1720290281

State Medical Supply Provider, Inc is a Durable Medical Equipment & Medical Supplies in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9109 Lackland Rd
Saint Louis, MO 63114-5410
Phone: (314) 426-5903
Fax: (314) 890-2110
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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 · Licence 17769558 (MO)

Record details

NPI number1720290281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Senderovich — Pesident · (314) 426-5903
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address9109 Lackland Rd, Saint Louis, MO 63114-5410

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