Organization Active NPI

Consumers Medical Supply

  • Customized Equipment (DME)
  • Saint Paul, MN
National Provider Identifier
1053645929
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CONSUMERS MEDICAL SUPPLY
Practice address
619 Lafayette Rd N
311
Saint Paul, MN 55130-4446
Phone
(612) 220-1858
Fax
(651) 774-2847
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Victor Littlejohn
Title
Owner
Phone
(651) 367-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

619 Lafayette Rd N
311
Saint Paul, MN 55130-4446

Mailing address

619 Lafayette Rd N
311
Saint Paul, MN 55130-4446
Phone (612) 220-1858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1053645929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 LAFAYETTE RD N",
            "address_2": "311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304446",
            "telephone_number": "612-220-1858",
            "fax_number": "651-774-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 LAFAYETTE RD N",
            "address_2": "311",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304446",
            "telephone_number": "612-220-1858",
            "fax_number": "651-774-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMERS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-367-4274"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.