Organization Active NPI

D and E Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Sunrise, FL
National Provider Identifier
1275569675
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312768 Issued in FL
Legal business name
D AND E SUPPLIES LLC
Practice address
4620 N Hiatus Rd
Sunrise, FL 33351-7909
Phone
(954) 747-5531
Fax
(954) 572-2899
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Brian M Gordon, J.D.
Title
President
Phone
(954) 747-5531

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312768 FL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1312768 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 1312768 FL

Addresses

Primary practice location

4620 N Hiatus Rd
Sunrise, FL 33351-7909

Mailing address

4620 N Hiatus Rd
Sunrise, FL 33351-7909
Phone (954) 747-5531

Other identifiers 1

IdentifierTypeStateIssuer
031154500MedicaidFL

Other names 1

  • Medcare Products Doing business as

National Provider Directory

National Provider Directory

Locations

7806 NW 44th St
Lauderhill, FL 33351
Phone (954) 747-5531

4620 N Hiatus Rd
Sunrise, FL 33351
Phone (954) 747-5531

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1275569675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517909",
            "telephone_number": "954-747-5531",
            "fax_number": "954-572-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517909",
            "telephone_number": "954-747-5531",
            "fax_number": "954-572-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D AND E SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-747-5531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312768",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "1312768",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031154500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.