The Medicine Chest Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

PH 0016588 Issued in FL

Legal business name

THE MEDICINE CHEST INC

Practice address

910 Old Camp Rd
Building #170
The Villages, FL 32162-5604

Phone

(352) 753-1877

Fax

(352) 753-3755

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donald E Berisford

Title

Owner

Phone

(352) 753-1877

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Sue Berisford, MSW

  • Clinical Social Worker
  • Gotha, FL
  • NPI 1255098901
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1073500088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BUILDING #170",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-753-1877",
            "fax_number": "352-753-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD",
            "address_2": "BUILDING #170",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625604",
            "telephone_number": "352-753-1877",
            "fax_number": "352-753-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE CHEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BERISFORD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-753-1877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "PH 0016588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060821-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060821-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel P Terbrueggen, HAS, BC-HIS
• Suze H Tessier
• Lora Lee Thaxton, M.D.
• The Center for Advanced Healthcare at Brownwood, LLC (Advanced Surgery Center at Brownwood)
• The Club Healthcare and Rehabilitation Center at the Villages LLC
• The Medicine Chest, Inc
• The Orthopaedic Institute, PA
• The Village Dental Care, PA (Village Dental)
• The Village Dental Care, PA (Village Dental)
• The Village Dental Care, PA (Village Dental)

• Parenteral & Enteral Nutrition Supplies (DME) in The Villages, FL
• Providers in The Villages, FL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.