Fifty 50 Medical Llc
Durable Medical Equipment & Medical Supplies
1411 E Sandy Lake Rd Ste 120, Coppell
Texas, 75019-7947
972-243-2727 972-243-3111
Fifty 50 Medical Llc is a Durable Medical Equipment & Medical Supplies in Coppell, Texas. It is located at 1411 E Sandy Lake Rd Ste 120, Coppell and it's customer support contact number is 972-243-2727. The authorized person of Fifty 50 Medical Llc is Maxine Wilson who is Gm of the pharmacy and his contact number is 972-243-2727. Active license number of Fifty 50 Medical Llc is 26217 for Durable Medical Equipment & Medical Supplies in Texas. Fifty 50 Medical Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fifty 50 Medical Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Fifty 50 Medical Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fifty 50 Medical Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1411 E Sandy Lake Rd Ste 120, Coppell,
Texas, 75019-7947 |
| Phone: | 972-243-2727 |
| Fax: | 972-243-3111 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Maxine Wilson |
| Position: | Gm |
| Contact Number: | 972-243-2727 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1376797704 |
| NPI Enumeration Date: | 12 Nov, 2008 |
| NPI Last Update On: | 08 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fifty 50 Medical Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 26217 | Texas | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100792330A | Medicaid | Oklahoma | |
| 201737803 | Medicaid | Texas | |
| 201737801 | Medicaid | Texas | |
| 2121078 | Other | | Pk |
| 143875716 | Medicaid | Arkansas | |
Medicare Enrollment:
Fifty 50 Medical Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6709084577 | O20100930024455 | Fifty 50 Medical Llc | DME SUPPLIER - PHARMACY |
Products Available:
Fifty 50 Medical Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1411 E Sandy Lake Rd Ste 120,
Coppell, Texas |
| Zip: | 75019-7947 |
| Phone Number: | 972-243-2727 |
| Fax Number: | 972-243-3111 |
Patients can reach Fifty 50 Medical Llc at
1411 E Sandy Lake Rd Ste 120, Coppell, Texas or can
call on customer care at 972-243-2727.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.