Active NPI
Duramed LLC
- Durable Medical Equipment & Medical Supplies
- Salt Lake City, UT
National Provider Identifier
1255704060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.