Crown Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CROWN MEDICAL SUPPLY INC

Practice address

393 Dunlap St N Ste 408
Saint Paul, MN 55104-4237

Phone

(612) 227-1677

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Omar Ali

Title

Ceo

Phone

(612) 227-1677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1114540382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 408",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "612-227-1677",
            "fax_number": "651-299-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 408",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044237",
            "telephone_number": "612-227-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-227-1677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerilynn H Crowder
• Catherine A Crowley, CNM
• Cora Crowley, RN
• Sydney Crowley, PA-C
• Crown Imperial Press, LLC
• Scott C Cruse, LICSW
• Charles Edward Crutchfield, MD
• Chelsea Dennise Cruz, RN
• Selene Cruz
• Victoria Angela Cruz

• Durable Medical Equipment & Medical Supplies in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.