Organization Active NPI

Pri-Med Healthcare Solutions

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1265264360
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRI-MED HEALTHCARE SOLUTIONS
Practice address
2121 Corporate Square Blvd Ste 135
Jacksonville, FL 32216-1990
Phone
(786) 815-3251
Fax
(866) 579-5123
NPI assigned
Aug 16, 2024
Last updated
Aug 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Authorized official

Name
Daine Darby
Title
Owner
Phone
(786) 815-3251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

2121 Corporate Square Blvd Ste 135
Jacksonville, FL 32216-1990

Mailing address

2121 Corporate Square Blvd Ste 135
Jacksonville, FL 32216-1990
Phone (786) 815-3251

National Provider Directory

National Provider Directory

Locations

2121 Corporate Square Blvd
Ste 135
Jacksonville, FL 32216
Phone (786) 815-3251

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1265264360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161990",
            "telephone_number": "786-815-3251",
            "fax_number": "866-579-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161990",
            "telephone_number": "786-815-3251",
            "fax_number": "866-579-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI-MED HEALTHCARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "DAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-815-3251"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.