Organization Active NPI

The Medical Depot,LLC

  • Durable Medical Equipment & Medical Supplies
  • Chalmette, LA
National Provider Identifier
1043454093
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE MEDICAL DEPOT,LLC
Practice address
3016 Jean Lafitte Pky.
Ste.B
Chalmette, LA 70043
Phone
(504) 322-2440
Fax
(504) 333-6077
NPI assigned
Apr 21, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Ms. Yolanda M Jenkins
Title
Owner
Phone
(504) 322-2440

Specialties & licenses 1

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

Addresses

Primary practice location

3016 Jean Lafitte Pky.
Ste.B
Chalmette, LA 70043

Mailing address

3016 Jean Lafitte Pky.
Ste.B
Chalmette, LA 70043
Phone (504) 322-2440

Other identifiers 1

IdentifierTypeStateIssuer
1798746MedicaidLA

National Provider Directory

National Provider Directory

Locations

3016 Jean Lafitte Pkwy
Ste B
Chalmette, LA 70043
Phone (504) 322-2440

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1043454093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 JEAN LAFITTE PKY.",
            "address_2": "STE.B",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "70043",
            "telephone_number": "504-322-2440",
            "fax_number": "504-333-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 JEAN LAFITTE PKY.",
            "address_2": "STE.B",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "70043",
            "telephone_number": "504-322-2440",
            "fax_number": "504-333-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL DEPOT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-322-2440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1798746",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.