Organization Active NPI

Durable Medical Equipment Distributors

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
National Provider Identifier
1063765089
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURABLE MEDICAL EQUIPMENT DISTRIBUTORS
Practice address
771 Corporate Drive
Suite 602
Lexington, KY 40503-5440
Phone
(859) 410-8550
Fax
(859) 223-0642
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Max HammondNPI 1316389059
Title
Director
Phone
(859) 410-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

771 Corporate Drive
Suite 602
Lexington, KY 40503-5440

Mailing address

PO Box 910544
Lexington, KY 40591-0544
Phone (859) 410-8550

National Provider Directory

National Provider Directory

Locations

771 Corporate Dr
Ste 602
Lexington, KY 40503
Phone (859) 410-8550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1063765089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910544",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910544",
            "telephone_number": "859-410-8550",
            "fax_number": "859-223-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DRIVE",
            "address_2": "SUITE 602",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035440",
            "telephone_number": "859-410-8550",
            "fax_number": "859-223-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL EQUIPMENT DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-410-8550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.