Organization Active NPI

Supermed, Inc

Doing business as medpend

  • Durable Medical Equipment & Medical Supplies
  • Ormond Beach, FL
National Provider Identifier
1316071277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1123 Issued in FL
Legal business name
SUPERMED, INC
Doing business as
medpend
Practice address
525 Shadow Lakes Blvd
Ormond Beach, FL 32174-5003
Phone
(386) 672-9530
Fax
(386) 677-2072
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan J Rabin
Title
Ceo
Phone
(386) 672-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1123 FL Primary

Addresses

Primary practice location

525 Shadow Lakes Blvd
Ormond Beach, FL 32174-5003

Mailing address

525 Shadow Lakes Blvd
Ormond Beach, FL 32174-5003
Phone (386) 672-9530

Other names 1

  • medpend Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medpend2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 Shadow Lakes Blvd
Ormond Beach, FL 32174
Phone (386) 672-9530

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316071277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SHADOW LAKES BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745003",
            "telephone_number": "386-672-9530",
            "fax_number": "386-677-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SHADOW LAKES BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745003",
            "telephone_number": "386-672-9530",
            "fax_number": "386-677-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-672-9530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medpend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.