Organization Active NPI

American Medical Supplies Inc

Durable Medical Equipment & Medical Supplies
Boca Raton, FL

National Provider Identifier

1205830197

Registry record updated Mar 7, 2017

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Boca Raton, FL
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name: AMERICAN MEDICAL SUPPLIES INC
Doing business as: American Medical Supplies, Inc.
Practice address: 751 Park of Commerce Dr
Suite 136
Boca Raton, FL 33487-3626
Phone: (800) 575-2345
Fax: (561) 962-2679
NPI assigned: Jun 8, 2005
Organization subpart: Yes
Parent organization: ALERE PHOENIX ACQ INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name: Lawrence Alan Dickson
Title: Vice-President
Phone: (561) 271-1645

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X			Primary

Addresses

Primary practice location

751 Park of Commerce Dr
Suite 136
Boca Raton, FL 33487-3626

Mailing address

751 Park of Commerce Dr
Suite 136
Boca Raton, FL 33487-3626
Phone (800) 575-2345

Other identifiers 40

Identifier	Type	State	Issuer
009414250	Medicaid	AL
1205830197	Medicaid	RI
124666741	Medicaid	AR
18666000	Medicaid	ME
200830080 A	Medicaid	IN
1205830197	Medicaid	MI
138628000	Medicaid	MD
1458228	Medicaid	ND
1205830197	Medicaid	MN
1205830197	Medicaid	NC
1984825	Medicaid	LA
3079015	Medicaid	NH
001449545 0007	Medicaid	PA
100004910A	Medicaid	KS
1205830197	Medicaid	ID
1205830197-01	Medicaid	CA
2160068	Other		PK
90292293	Medicaid	KY
000T4184	Medicaid	NM
01661614	Medicaid	NY
0962178	Medicaid	OH
110104170A	Medicaid	MA
1205830197	Medicaid	SD
171764	Medicaid	OR
100800110 A	Medicaid	OK
1205830197	Medicaid	MO
1205830197	Medicaid	IL
1205830197	Medicaid	MT
1205830197	Medicaid	GU
1205830197	Medicaid	DE
160169	Medicaid	AZ
000796914X	Medicaid	GA
00440156	Medicaid	MS
1021868	Medicaid	AK
1205830197	Medicaid	CT
1205830197	Medicaid	NV
6052509	Medicaid	NJ
003352700	Medicaid	FL
98002637	Medicaid	CO
DME726	Medicaid	SC

Other names 1

AMERICAN MEDICAL SUPPLIES, INC. Doing business as

National Provider Directory

Locations

751 Park of Commerce Dr
Ste 136
Boca Raton, FL 33487
Phone (800) 575-2345

30 S Keller Rd
Ste 100A
Orlando, FL 32810

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1205830197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR",
            "address_2": "SUITE 136",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873626",
            "telephone_number": "800-575-2345",
            "fax_number": "561-962-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PARK OF COMMERCE DR",
            "address_2": "SUITE 136",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873626",
            "telephone_number": "800-575-2345",
            "fax_number": "561-962-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL SUPPLIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERE PHOENIX ACQ INC.",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "561-271-1645"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
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            "state": "RI"
        },
        {
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            "state": "AR"
        },
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            "state": "ME"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "200830080 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "state": "MI"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "138628000",
            "state": "MD"
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        {
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            "identifier": "1458228",
            "state": "ND"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1205830197",
            "state": "MN"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1205830197",
            "state": "NC"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1984825",
            "state": "LA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "3079015",
            "state": "NH"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "001449545 0007",
            "state": "PA"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004910A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160068",
            "state": null
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "90292293",
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        {
            "code": "05",
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            "identifier": "000T4184",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "01661614",
            "state": "NY"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962178",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104170A",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1205830197",
            "state": "SD"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "171764",
            "state": "OR"
        },
        {
            "code": "05",
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            "identifier": "100800110 A",
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        {
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            "identifier": "1205830197",
            "state": "IL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "MT"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "160169",
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            "issuer": null,
            "identifier": "00440156",
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        },
        {
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            "desc": "MEDICAID",
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            "identifier": "1021868",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205830197",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6052509",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003352700",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98002637",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN MEDICAL SUPPLIES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.