Organization Active NPI

Lincare Inc.

Doing business as United Medical

  • Home Infusion Therapy Pharmacy
  • Vicksburg, MS
National Provider Identifier
1114081346
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
LINCARE INC.
Doing business as
United Medical
Practice address
2480 S Frontage Rd
Ste F
Vicksburg, MS 39180-5251
Phone
(601) 636-0505
Fax
(601) 636-9996
NPI assigned
Dec 21, 2006
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Paul Gabos
Title
Cfo
Phone
(727) 431-8215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary

Addresses

Primary practice location

2480 S Frontage Rd
Ste F
Vicksburg, MS 39180-5251

Mailing address

19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (727) 431-8110

Other names 1

  • United Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lincare Inc Ft Smith603 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2480 S Frontage Rd
Ste F
Vicksburg, MS 39180
Phone (601) 630-0446

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1114081346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19387 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643102",
            "telephone_number": "727-431-8110",
            "fax_number": "877-524-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S FRONTAGE RD",
            "address_2": "STE F",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805251",
            "telephone_number": "601-636-0505",
            "fax_number": "601-636-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "GABOS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-431-8215"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.