Revolutionary Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

685961 Issued in FL

Legal business name

REVOLUTIONARY MEDICAL SUPPLIES LLC

Practice address

450 Van Pelt LN
Pensacola, FL 32505-2532

Phone

(850) 777-1213

Fax

(850) 478-1864

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Miss Brenda Dawn Hadden, RN

Title

Managing Member

Phone

(850) 777-1213

Specialties & licenses 1

Addresses

Tax ID family

Revolutionary Medical Supplies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Revolutionary Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Pensacola, FL
  • NPI 1043638307
  NPD tax ID

Locations

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1023436615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037077",
            "telephone_number": "850-777-1213",
            "fax_number": "850-478-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VAN PELT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052532",
            "telephone_number": "850-777-1213",
            "fax_number": "850-478-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTIONARY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "HADDEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-777-1213",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "685961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Return to Health Urgent Care, LLC
• Beth Retzer, LMHC
• John E Retzloff, DO
• Jean Reuter
• Revelations Direct Care Services
• Revolutionary Medical Supplies LLC
• Gaddiel Reyes
• Roy R Reyes, MD
• Clyde Douglas Reynolds, O.D.
• Kimberly Reynolds

• Durable Medical Equipment & Medical Supplies in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.