Destiny Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DESTINY MEDICAL SUPPLIES

Practice address

2727 Camino del Rio S Ste 137a
San Diego, CA 92108-3739

Phone

(619) 761-5008

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By 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

BJ Hall

Title

President

Phone

(619) 761-5008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1184233561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 CAMINO DEL RIO S STE 137A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083739",
            "telephone_number": "619-761-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CAMINO DEL RIO S STE 137A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083739",
            "telephone_number": "619-761-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-761-5008"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Desrouilleres, PTA
• Marianne Elyse Dessert
• Alexander Kareem Desta, D.D.S.
• Taddese Teferi Desta, M.D.
• Emily Paige Destefano, ND
• Latoya Desue, LMFT
• Ajai Scott Desulme
• Tia Rachael Deswert
• Detention's Facility Pharmacy
• Deters Chiropractic Corp

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.