Organization Active NPI

Duramed LLC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1255704060
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DURAMED LLC
Practice address
2164 S Richards St
Salt Lake City, UT 84115-2606
Phone
(888) 512-5256
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Darin William Johncock
Title
President
Phone
(888) 412-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2164 S Richards St
Salt Lake City, UT 84115-2606

Mailing address

2164 S Richards St
Salt Lake City, UT 84115-2606
Phone (888) 512-5256

National Provider Directory

National Provider Directory

Locations

2164 S Richards St
South Salt Lake, UT 84115
Phone (888) 412-8087

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1255704060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 S RICHARDS ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "888-512-5256",
            "fax_number": "888-522-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 S RICHARDS ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152606",
            "telephone_number": "888-512-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNCOCK",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-412-8087"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.