Organization Active NPI

My Town Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1033672399
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY TOWN MEDICAL SUPPLIES LLC
Practice address
10 S New River Dr E Ste 105
Fort Lauderdale, FL 33301-2810
Phone
(954) 765-6856
Fax
(954) 208-9037
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Mr. Andros Rodriguez Capote
Title
President
Phone
(549) 765-6856

Specialties & licenses 1

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

Addresses

Primary practice location

10 S New River Dr E Ste 105
Fort Lauderdale, FL 33301-2810

Mailing address

10 S New River Dr E Ste 105
Fort Lauderdale, FL 33301-2810
Phone (954) 765-6856

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mytown105@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

10 S New River Dr E
Ste 105
Fort Lauderdale, FL 33301
Phone (954) 765-6856

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1033672399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S NEW RIVER DR E STE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012810",
            "telephone_number": "954-765-6856",
            "fax_number": "954-208-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S NEW RIVER DR E STE 105",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012810",
            "telephone_number": "954-765-6856",
            "fax_number": "954-208-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TOWN MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CAPOTE",
        "authorized_official_first_name": "ANDROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "549-765-6856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mytown105@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "comapany email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "10 S New River Dr E Ste 105",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333012810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.