Devon DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

60000007716 Issued in PA

Legal business name

DEVON DME LLC

Doing business as

Kratos Medical Supply

Practice address

1100 First Ave Ste 202
King of Prussia, PA 19406-1327

Phone

(800) 431-2273

Fax

(484) 636-0211

NPI assigned

Nov 1, 2010

Last updated

Jan 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ruth Wu

Title

Coo

Phone

(484) 688-8214

Specialties & licenses 1

Addresses

Other names 1

• Kratos Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1366742884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FIRST AVE STE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FIRST AVE STE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061327",
            "telephone_number": "800-431-2273",
            "fax_number": "484-636-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "484-688-8214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "60000007716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kratos Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren M. Detullio, OT
• Devereux
• Devereux Accts Receivable
• Robert William Devine
• Julie Matsen Devitt, PHD
• Devon MD LLC
• Devon Medical Products
• Devon Medical Products Inc (Devon Testing)
• Devon Orthopaedic Implants LLC
• Emma Dewhirst, PSYD, MBA, BCB

• Durable Medical Equipment & Medical Supplies in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.