Organization Active NPI

Royal Palm Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • West Palm Beach, FL
National Provider Identifier
1154643195
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ORF153 Issued in FL
Legal business name
ROYAL PALM MEDICAL SUPPLY INC
Practice address
941 S Military TRL Ste F9
West Palm Beach, FL 33415-3980
Phone
(561) 253-0453
Fax
(877) 849-9990
NPI assigned
Feb 18, 2010
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. John Hartshorn
Title
President/Owner
Phone
(774) 306-1536

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ORF153 FL Primary
Prosthetic/Orthotic Supplier 335E00000X ORF153 FL

Addresses

Primary practice location

941 S Military TRL Ste F9
West Palm Beach, FL 33415-3980

Mailing address

941 S Military TRL # F9
West Palm Beach, FL 33415-3980
Phone (561) 253-0453

Other identifiers 1

IdentifierTypeStateIssuer
1313676OtherFLACHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120709000111 FL DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company 9133384613 Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Royal Palm Medical Supply941 S Military TRL, West Palm Beach, FL 33415-3980(561) 253-0453 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Neuromuscular Elect… Does not accept assignmentParticipating since May 11, 2012

National Provider Directory

National Provider Directory
Tax ID family
Royal Palm Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

941 S Military Trl
#F9
West Palm Beach, FL 33415

941 S Military Trl
Ste F9
West Palm Beach, FL 33415
Phone (561) 253-0453

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1154643195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S MILITARY TRL # F9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153980",
            "telephone_number": "561-253-0453",
            "fax_number": "954-541-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S MILITARY TRL STE F9",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153980",
            "telephone_number": "561-253-0453",
            "fax_number": "877-849-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-02-09",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "774-306-1536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ORF153",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORF153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA",
            "identifier": "1313676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.