Majestic Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAJESTIC MEDICAL SUPPLY INC

Practice address

4637 Vincennes Blvd Ste 5
Cape Coral, FL 33904-9109

Phone

(239) 599-8067

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Alexi Sandoval Penalver

Title

President

Phone

(239) 599-8067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1295348266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 VINCENNES BLVD STE 5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049109",
            "telephone_number": "239-599-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 VINCENNES BLVD STE 5",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049109",
            "telephone_number": "239-599-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL PENALVER",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-599-8067"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Magrinat
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• Van H Mai, RPH
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• Durable Medical Equipment & Medical Supplies in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.