Pompano Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POMPANO MEDICAL SUPPLY INC

Practice address

750 E Sample Rd Unit 208
Pompano Beach, FL 33064-5144

Phone

(754) 307-3437

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Devin Bernodd Hines

Title

President

Phone

(954) 598-3010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1023879723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD UNIT 208",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "754-307-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD UNIT 208",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645144",
            "telephone_number": "754-307-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "BERNODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-598-3010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Pompano Beach, FL
• Providers in Pompano Beach, 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 Jan 23, 2024; 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.