Millennium Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

60566157 Issued in WA

Legal business name

MILLENNIUM MEDICAL SUPPLY

Doing business as

same as above

Practice address

12815 Canyon Rd E Ste R
Puyallup, WA 98373-5104

Phone

(187) 787-5509

Fax

(253) 539-2990

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Semira A Hussien

Title

Director

Phone

(877) 875-5095

Specialties & licenses 1

Addresses

Other names 1

• same as above Doing business as

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1023458593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E STE R",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735104",
            "telephone_number": "187-787-5509",
            "fax_number": "253-539-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E STE R",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735104",
            "telephone_number": "187-787-5509",
            "fax_number": "253-539-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HUSSIEN",
        "authorized_official_first_name": "SEMIRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "18778755095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "60566157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Millar, MD
• Justin David Millard, MD
• Michael Edward Millard II, LMFT
• Millenium Medical Supply LLC
• Millenium Pharmacy
• Donald E Miller, PT
• Fabiola Miller
• Hannah Jean Miller, M.S., CCC-SLP
• James Miller, DDS
• Jeffrey R Miller, DMD

• Durable Medical Equipment & Medical Supplies in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.