Organization Active NPI

Medline Industries, LP

  • Durable Medical Equipment & Medical Supplies
  • Kapolei, HI
National Provider Identifier
1265087001
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDLINE INDUSTRIES, LP
Practice address
2341 Lauwiliwili St
Kapolei, HI 96707-1899
Phone
(866) 356-4997
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Zachary Pocklington
Title
SVP Homecare and Managed Care
Phone
(844) 265-6512

Specialties & licenses 1

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

Addresses

Primary practice location

2341 Lauwiliwili St
Kapolei, HI 96707-1899

Mailing address

3 Lakes Dr
Attn Homecare Compliance
Northfield, IL 60093-2753
Phone (844) 265-6512

Other names 1

  • Medline Industries, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3 Lakes Dr
Winnetka, IL 60093
Phone (847) 732-8570

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265087001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAKES DR",
            "address_2": "ATTN HOMECARE COMPLIANCE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932753",
            "telephone_number": "844-265-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 LAUWILIWILI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071899",
            "telephone_number": "866-356-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINE INDUSTRIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POCKLINGTON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "SVP HOMECARE AND MANAGED CARE",
        "authorized_official_telephone_number": "844-265-6512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.