Duramax Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DURAMAX MEDICAL SUPPLY, INC.

Practice address

9427 Conant St
Suite a
Hamtramck, MI 48212-3689

Phone

(586) 601-9618

Fax

(860) 631-9618

NPI assigned

Apr 26, 2012

Last updated

Mar 13, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melissa Phillips

Title

Ceo/President

Phone

(586) 601-9618

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1003174152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 CONANT ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123689",
            "telephone_number": "586-601-9618",
            "fax_number": "860-631-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 CONANT ST",
            "address_2": "SUITE A",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123689",
            "telephone_number": "586-601-9618",
            "fax_number": "860-631-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMAX MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "586-601-9618",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6929950001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.