Organization Active NPI

NK Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Lauderhill, FL
National Provider Identifier
1114566767
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NK MEDICAL SUPPLIES
Practice address
4880 NW 22ND St Apt 101
Lauderhill, FL 33313-3411
Phone
(954) 842-6545
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Mr. Kamal Ibrahim Abdelrahim
Title
President
Phone
(954) 842-6545

Specialties & licenses 1

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

Addresses

Primary practice location

4880 NW 22ND St Apt 101
Lauderhill, FL 33313-3411

Mailing address

4880 NW 22ND St Apt 101
Lauderhill, FL 33313-3411
Phone (954) 842-6545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1114566767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 NW 22ND ST APT 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133411",
            "telephone_number": "954-842-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 NW 22ND ST APT 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133411",
            "telephone_number": "954-842-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "ABDELRAHIM",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-842-6545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.