Organization Active NPI

Daytona Peoples Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Daytona Beach, FL
National Provider Identifier
1285704593
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312342 Issued in FL
Legal business name
DAYTONA PEOPLES MEDICAL SUPPLY
Practice address
955 Orange Ave
Suite 110
Daytona Beach, FL 32114-4675
Phone
(386) 258-8840
Fax
(386) 248-0699
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Adelani Adekunle
Title
Owner
Phone
(386) 258-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312342 FL Primary

Addresses

Primary practice location

955 Orange Ave
Suite 110
Daytona Beach, FL 32114-4675

Mailing address

955 Orange Ave
Suite 110
Daytona Beach, FL 32114-4675
Phone (386) 258-8840

Other identifiers 1

IdentifierTypeStateIssuer
028410600MedicaidFL

National Provider Directory

National Provider Directory

Locations

955 Orange Ave
Ste 110
Daytona Beach, FL 32114
Phone (386) 258-8840

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1285704593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 ORANGE AVE",
            "address_2": "SUITE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144675",
            "telephone_number": "386-258-8840",
            "fax_number": "386-248-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 ORANGE AVE",
            "address_2": "SUITE 110",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144675",
            "telephone_number": "386-258-8840",
            "fax_number": "386-248-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA PEOPLES MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ADEKUNLE",
        "authorized_official_first_name": "ADELANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-258-8840"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028410600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.