Organization Active NPI

Medpend, Inc.

  • Customized Equipment (DME)
  • Sanford, FL
National Provider Identifier
1366429805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1123 Issued in FL
Legal business name
MEDPEND, INC.
Practice address
222 Hickman Dr
# 102
Sanford, FL 32771-6917
Phone
(407) 688-1868
Fax
(407) 688-7732
NPI assigned
Dec 27, 2005
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. Timothy Pendry
Title
Owner
Phone
(407) 688-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1123 FL Primary

Addresses

Primary practice location

222 Hickman Dr
# 102
Sanford, FL 32771-6917

Mailing address

222 Hickman Dr
# 102
Sanford, FL 32771-6917
Phone (407) 688-1868

Other identifiers 1

IdentifierTypeStateIssuer
1123OtherFLSTATE DME LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

222 Hickman Dr
Ste 102
Sanford, FL 32771
Phone (407) 688-1868

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366429805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HICKMAN DR",
            "address_2": "# 102",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716917",
            "telephone_number": "407-688-1868",
            "fax_number": "407-688-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HICKMAN DR",
            "address_2": "# 102",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716917",
            "telephone_number": "407-688-1868",
            "fax_number": "407-688-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPEND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENDRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-688-1868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DME LICENSE NUMBER",
            "identifier": "1123",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, 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.