Medical Supply Shoppe Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLY SHOPPE INC.

Practice address

2591 SE Ocean Boulevard
Stuart, FL 34996-3313

Phone

(888) 976-1444

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By 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

Ms. Mabel Gonzalez

Title

President

Phone

(888) 976-1444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1114207479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 SE OCEAN BOULEVARD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 SE OCEAN BOULEVARD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963313",
            "telephone_number": "888-976-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY SHOPPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-976-1444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Eugene Meadows III, RBT
• Mecnb, LLC (Helix Medical)
• Med-Trans Corporation
• Medical Equipment Specialists, LLC
• Medical Healing Arts Center of Stuart LLC
• Srimedha Medicherla
• April Medici, LMHC
• Stella Iramil Medina Lewis, MD
• Elizabeth Medina
• Emily Medina

• Durable Medical Equipment & Medical Supplies in Stuart, FL
• Providers in Stuart, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.