Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

1st Source Medical Supply, LLC

Durable Medical Equipment & Medical Supplies in Upland, CA · enumerated 2016 · authorized official Villard Mccoy, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538610662

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name 1st Source Medical Supply, LLC

Practice address 1123 W 9th St, Upland, CA, 91786

Phone (951) 350-4020

Fax (951) 350-4012

Enumeration date Oct 24, 2016

Last updated in NPPES Oct 24, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Villard Mccoy

Title Owner

Phone (951) 350-4020

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is 1st Source Medical Supply, LLC located?

The practice location on file with NPPES is in Upland, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-24. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-24.