Innovative Medical Supply, LLC
Innovative Medical Supply, LLC is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Moore, OK, holding Type 2 (organization) NPI 1679570121 since 2005. The authorized official on file is Brian Berry, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679570121 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innovative Medical Supply, LLC |
| Other name | <Unavail> |
| Practice address | 1501 SE 4TH ST, SUITE D, Moore, OK, 73160 |
| Phone | 4057998855 |
| Fax | 4057998860 |
| Enumeration date | 2005-06-30 |
| Last updated in NPPES | 2025-08-27 |
Authorized official
| Name | Brian Berry |
|---|---|
| Title | Member |
| Phone | 4057998855 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023000A | Medicaid | OK | — |
| 209078400 | Other | OK | DEPT OF LABOR PROVIDER # |
| 20536475001 | Other | OK | TRICARE PROVIDER NUMBER |
Copy-ready billing details
Provider: Innovative Medical Supply, LLC NPI: 1679570121 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 1501 SE 4TH ST, SUITE D, Moore, OK, 73160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871914754 | Imed Alert Systems LLC | Organization | Emergency Response System Companies | Moore, OK |
Verify this record
Cross-check NPI 1679570121 against the authoritative CMS record: view Innovative Medical Supply, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Innovative Medical Supply, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-27.