Prime Scrubs & Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME SCRUBS & MEDICAL SUPPLY

Practice address

8062 Brooklyn Blvd
Brooklyn Park, MN 55445-2407

Phone

(763) 657-0457

NPI assigned

Dec 14, 2016

Last updated

Aug 27, 2024By 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

Angela Mensah

Title

Owner

Phone

(763) 657-0457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1124562814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8062 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452407",
            "telephone_number": "763-657-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8062 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452407",
            "telephone_number": "763-657-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SCRUBS & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-657-0457"
    },
    "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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• Abena Viola Prempeh, DNP, PMHNP-BC
• Primestone Healthcare LLC
• Primor Home Health Care LLC
• Primus Incorporated
• Pro Health Home Care
• Pro Medical Staffing, Inc.

• Durable Medical Equipment & Medical Supplies in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Aug 27, 2024; 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.