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

Your Medical Supply Co, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1063045409

Your Medical Supply Co, LLC is a Durable Medical Equipment & Medical Supplies in Brookhaven, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
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

19G E Lincoln Rd NE
Brookhaven, MS 39601-8757
Phone: (601) 265-2055
Fax: (601) 265-2257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1063045409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jada Davis — President · (601) 265-2055
NPI enumeratedFebruary 13, 2020
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address19g E Lincoln Rd Ne, Brookhaven, MS 39601-8757

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