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Organization Active NPI

Euclid Buckeye Medical Supply Co. LLC

  • Durable Medical Equipment & Medical Supplies
  • Euclid, OH
National Provider Identifier
1033441043
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in OH
Legal business name
EUCLID BUCKEYE MEDICAL SUPPLY CO. LLC
Practice address
26200 Shoreview Ave
Euclid, OH 44132-1453
Phone
(216) 288-6962
Fax
(216) 732-7205
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mrs. Shalonda Nicole Johnson
Title
Owner
Phone
(216) 288-6962

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X OH Primary
Nursing Facility Supplies (DME) 332BN1400X OH
Oxygen Equipment & Supplies (DME) 332BX2000X OH
Hearing Aid Equipment 332S00000X OH
Prosthetic/Orthotic Supplier 335E00000X OH

Addresses

Primary practice location

26200 Shoreview Ave
Euclid, OH 44132-1453

Mailing address

26200 Shoreview Ave
Euclid, OH 44132-1453
Phone (216) 288-6962

Other names 1

  • Buckeye Medical Supply Co. LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1033441043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26200 SHOREVIEW AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321453",
            "telephone_number": "216-288-6962",
            "fax_number": "216-732-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26200 SHOREVIEW AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321453",
            "telephone_number": "216-288-6962",
            "fax_number": "216-732-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID BUCKEYE MEDICAL SUPPLY CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHALONDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-288-6962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "332B00000X",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Medical Supply Co. LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.