Anchor Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANCHOR MEDICAL SUPPLIES LLC

Practice address

2581 Jupiter Park Dr Ste E12
Jupiter, FL 33458-6022

Phone

(561) 972-4136

NPI assigned

Jul 2, 2020

Last updated

Feb 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Dahl

Title

Member Manager

Phone

(561) 972-4136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1083231393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 JUPITER PARK DR STE E12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586022",
            "telephone_number": "561-972-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 JUPITER PARK DR STE E12",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586022",
            "telephone_number": "561-972-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "561-972-4136"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.