NPIMap

Organization Active NPI

Solarus Enterprises, LLC

Doing business as Solarus Medical

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1073574331
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312499 Issued in FL
Legal business name
SOLARUS ENTERPRISES, LLC
Doing business as
Solarus Medical
Practice address
10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993
Phone
(813) 994-6688
Fax
(866) 643-9605
NPI assigned
Mar 28, 2006
Last updated
Mar 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
James Lee Elder Jr.
Title
Managing Director
Phone
(813) 994-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312499 FL Primary

Addresses

Primary practice location

10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993

Mailing address

10347 Cross Creek Blvd
Suite H
Tampa, FL 33647-2993
Phone (813) 994-6688

Other names 1

  • Solarus Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930033439 FL DME Supplier - Medical Supply Company 9436369725 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Solarus Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10347 Cross Creek Blvd
Ste H
Tampa, FL 33647
Phone (813) 994-6688

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1073574331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD",
            "address_2": "SUITE H",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-994-6688",
            "fax_number": "813-994-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10347 CROSS CREEK BLVD",
            "address_2": "SUITE H",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472993",
            "telephone_number": "813-994-6688",
            "fax_number": "866-643-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARUS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "813-994-6688",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solarus Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solarus Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.