Organization Active NPI

Medical Supply Super Center

  • Durable Medical Equipment & Medical Supplies
  • Delray Beach, FL
National Provider Identifier
1013305374
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL SUPPLY SUPER CENTER
Practice address
55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615
Phone
(561) 771-1713
Fax
(561) 245-8563
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Mr. Joseph Anthony Amira
Title
President
Phone
(561) 771-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615

Mailing address

55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615
Phone (561) 771-1713

National Provider Directory

National Provider Directory

Locations

55 SE 2nd Ave
Ste 120
Delray Beach, FL 33444
Phone (561) 771-1713

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1013305374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SE 2ND AVE",
            "address_2": "SUITE 120",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443615",
            "telephone_number": "561-771-1713",
            "fax_number": "561-245-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SE 2ND AVE",
            "address_2": "SUITE 120",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443615",
            "telephone_number": "561-771-1713",
            "fax_number": "561-245-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY SUPER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "AMIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-771-1315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.