Medical & Diabetic Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4560810001 Issued in FL

Legal business name

MEDICAL & DIABETIC SUPPLIES, INC.

Practice address

1829 Park LN S
Suite 2
Jupiter, FL 33458-8086

Phone

(561) 745-9167

Fax

(561) 747-4647

NPI assigned

Jun 24, 2006

Last updated

Jul 29, 2008By 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

Mrs. Linda Sue Penchansky

Title

President

Phone

(561) 745-9167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1184650780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HAMPTON CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588145",
            "telephone_number": "561-745-9167",
            "fax_number": "561-747-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 PARK LN S",
            "address_2": "SUITE 2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588086",
            "telephone_number": "561-745-9167",
            "fax_number": "561-747-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL & DIABETIC SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "PENCHANSKY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-745-9167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "4560810001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.