Healthcare Provider Details

I. General information

NPI: 1356340350
Provider Name (Legal Business Name): A-PLUS MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W 2ND ST
LITTLE ROCK AR
72201-2117
US

IV. Provider business mailing address

805 W 2ND ST
LITTLE ROCK AR
72201-2117
US

V. Phone/Fax

Practice location:
  • Phone: 501-374-5672
  • Fax: 501-372-4399
Mailing address:
  • Phone: 501-374-5672
  • Fax: 501-372-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KEITH GOODNER
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 501-374-5672